C10006425 / invoice 10000

09/03/2026 REASON: Ongoing diarrhoea

HISTORY:
Ongoing diarrhoea: blood level is the same as yesterday
not drinking today, need convincing to eat
just manage antinausea medication this am with peanut butter and sweet potato
restless and pacing
frequently trying to go to toilet through the night: pacing, wanting to go outside 2am, 8-9am again
EXAM:
QAR, BCS 4.5/9 mm: pink borderline tackiness CRT: 1-2sec RR: pant HR: 100 T: 38.4
abdo palp: fluid GI, no guarding
rectum: fluid haemorrhagic diarrhoea
ASSESSMENT:
HGE, nausea, reduced appetite and thirst
TREATMENT:
- IVFT 
- Metronidazole 10mg/kg slow IV 
- Nexium 1mg/kg slow IV
E-collar on as chewed IV line
OBSERVATIONS:
Bout of HGE ~ 6pm
Panting, bit unsettled.

COMMUNICATION:
- call to Kerry, re progress: will rest more if comes home. Can let her in/ out and O happy to do so. Discussed when to proceed with OOH intervention. Cannot safely leave at TVH: likely chew out line, so best under constant supervision. O will go to NEVS if deterioration overnight, if all ok can return in the am for ongoing IVFT and rpt metro/ nexium (no rpt charge for IVFT). O to collect 7.45pm