C10004900 / invoice 10000

Reason: Not eatingCN RHHistory: Presented by Joan and BarryWednesday urinating in yard Started to eat chicken yesterdayNot eating this morning. Cheese given to get Panadol downPanadol 4.45am todayO think has tempLast night ran out the gate and down the hill before falling then not able to get up again. Walked to car this morning and got in himselfSeems very stressedO doesn't want him to suffer or be in painThinks has been something on going for a few monthsExamination:Clinically stable, QARThoracic auscultation unremarkableAbdominal palpation v large bladder LN unremarkableOral exam unremarkable Ocular exam unremarkableAural exam unremarkableHydration status adequate Skin exam U scolding medial aspect pelvic limbs, multiple lesion paws HLNeurological exam ataxic pelvic limbsMusculoskeletal exam ataxic pelvic limbs, RF digit 3 dorsal aspect P2/3 deep laceration with excoriations will rqr staples/suturesGenital exam unremarkable U scolding medial aspect ppelvic limbsRectal exam not performed Diagnosis/Differential Diagnosis: Atonic bladderRhabdomyolysisIVDDOpenTreatment:Prevomax IVMetronidazole IVDom IVMeth IVClindeneMirtazonPlan:Admit for bloods - Send non-interp bloods (urgent)Fluids and antinauseaINI discussed QOLIV Fluids: IV & Fluid Therapy: IV catheter with  of hartmansIV & Fluid Therapy: Additional Bags IV FluidsSedation: DOM 0.01mls/kg + methone 0.03mls/kgClient communication: Phoned Joan re the case and exp will need to do staple in the digit O given consentIV Fluids: Anesthesia: Local Infusion with 6ml of lidocaineSurgery: Wound debrided and stapled closedBandages & Dressings: Apply Bandage to FL paw    Vital Signs    Weight: 60.9;       MMColour: Pink;       Temperature: 39.4;       HeartRate: 120;       RespirationRate: Panting;       CRT: < 1 sec;       

Reason: Fluids, BloodsEuthanasia:    Vital Signs