C10004825 / invoice 10000

Reason: Owner requests a repeat prescription of previous medication- Name of medication: Trazadone 25mg- Previous dose/freq: 1 tablet, Twice Daily- Number of Tablets Requested: O requested the max amount of tablets possible. Seems to be running out very fast- Doing well on this dose? Yes- Date of last vet check: 09/03/26- Date of last blood test:- Happy to collect tomorrow? Yes- Nurse initials: A.CVET TO AUTHORISEVet initials:    Vital Signs    

Reason: Fentanyl Patch RemovalAppointment Notes: JMOverdue reminders  ------- Sms reply: YHistory: Coco is a 2 year and 4 month old female spayed cavoodle presenting for health check today. O reports that Coco has been going well. Refusing to EAD or toiletin in pen, outside will act normally Doesn't seem painful Trazadone BID - started thur night when got home, been doing BID - get more, here again thursday for physio For up to another 5 weeks BID Finished ABs This AM added gabapentin which helped more, have enough5 days PO MPL repair Remove fent patchFirst check booked for thurNeeds more traz - 1 tab 25mg BID working well? Could get gaba as well if neededDiet + appetite: eating and drinking wellUrination/defecation: normal defecation and urination Preventatives: UTDAny issues: no other concernsExamination: Demeanour: BARHeart: 180Resp: 30BCS: 5/9MM: p+m, CRT <2Mouth: C0G0, normal occlusion, no cleft palate MSK: able to ambulate well, normal gaitNeuro: normal mentation, no obvious cranial nerve deficits or ataxiaEyes: clear, normal menace response and palpebral reflex, responds to visual cuesEars: no erythema or lesions, not painful or warm on palpationAbdo: no pain on palpationInteg: clearLNs: normally palpableAssessment: Treatment: Removed fentanyl patch Consent has been given by the client to proceed with this treatment -  YesPlan:O to monitor, revisit if concerned History-Update:Describe any changes or health problems since the operationExamination:  Assessment: Plan: Declined-Deferred Services:  List Services offered / Reason declined Other Services provided:    Vital Signs