C10005884 / invoice 10000

REASON - D+ (since friday) and lots of blood in it - GF 9/3
have req a poo sample if possible
req'd NM

HISTORY:
fridday night starte dwtih diarrhoea
blood in stools 
v liquid and blood, smelly
Diet: 
given childrens panadol pfri night
was soemince with tablets: might hav ebeen turning?
don't think stolent any extra treat

is gongn out for walks and cafe and littlee walks
wlking slowed down 

last seizure 2.5-3w ago: 
in the afternono late afternono 1 seizur e1-1.5min, the pacing, the nlaste rthat night another seizure for 1.5min then pacing
seemed more focal: twitching and spasming 

1 TID : leviteracetam 
did have steroid but now stopped
sometimes use meloxicam 
few nights fine all day then at night pangtin and pacing and distressed tried paranodl during day and emeloxicam at night whent striant o sleep 

lat week melox used once 
last given early last week 
have childresn panadol and 
have 

xchange to 120mg childrens panadol tablets

Prophylactics: 
EXAM:

ASSESSMENT:

TREATMENT: 

PLAN:

HISTORY INCOMPLETE 

Client called re correct panadol dose for Jasmine who appears to be in discomfort. Spoke to PW and advised for children's liquid panadol 100mg/ml she needs 1.2mls every 12 hrs OR 1 x 120mg tablet. Checked with client that the liquid panadol did not contain xylitol. Advised if panadol did not give her relief then a recheck was warranted to ensure she was not in pain.