C10005278 / invoice 10000

Reason: Ate 100grm Dark ChocolateConsultation Time: History: BIOP since Nil hx major health problemsNil current prescription medicationsEDUD all WNLIngested xxxxx +/- packaging Subjective:  BARObjective: Temp       MM pink  CRT 1s   HR      FP BCS:   /9                       Wt:   kgPain Score (CSU):  0 /4CV:  Nil murmur/arrhythmia, FP = HR, FP readily palpable. Nil hydration deficit.        RESP:   NAD  RR and effort normal, lung sounds clearGIT:  Abdomen relaxed, non painful, NOAD palpable. U/G:  NADNeuro:  Mentation appropriateM/S:  Ambulatory 4/4 nil lamenessInteg:  NADOphth:  Pupils symmetrical, visualLNs: NADProblem List:Chocolate ingestionAssessment: Ingestion of volume of chocolate sufficient to cause moderate GIT signs - vomiting, diarrhoea but unlikely to cause cardiotoxicity esp with prompt decontamination.  Can consider inpatient vs outpatient monitoring depending on O preference. Small risk pancreatitis. Options Offered to Client following decontamination(i) Admit to ICU for IVF, symptomatic rx(ii)Monitoring as outpatient, revisit if any concerns Both options presented as reasonable depending on O preferenceO comfortable monitoring P at home, elected (ii). Indicated would revisit if concerns. Treatment:Apomorphine gingival>>vomited xxxxMetoclopramide 0.5mg/kg SCActivated charcoal/sorbitol 1g/kg PO Plan:Confine and monitorBland dietRecheck asap if any concerns otherwise with RV in coming days if not 100%    Vital Signs    Weight: 43;       Temperature: 38.3;