C10006548 / invoice 10000

Reason: Check AppetiteAppointment Notes: Reschedule from 4.30pm aas client was advised by webvet cant run bloods in afternooon? CCRCBooked by WebVet - Thanks Bedford. Needs gaba for bloods if need repeating so owner knows that may be booked for another day if required since this appointment late in dayFem OHistory: Had a dental 3/3/26 (6 days ago).Pre GA bloods - H SDMA 26, low neutrophils & monocytes. Given findings with SDMA was placed on fluids for the day,Initially on discharge was very hungry (he is normally very food motivated).24 hrs after started to refuse food.Skip meals until very hungry & then only eats fancy feast & creamy treatsThis am ate some biscuits.Still drinking, O unsure if changed/decreased.Have seen him urinate. Noted 1 diarrhoea in litter but O thinks it is the other cat. The rest look normal.No vomiting.Has been sneezing a bit recently, more often than usual.Indoors with catio.Diet normally - hypoallergenic kibble + feline natural novel protein wet food + freeze dried. Suspect chicken allergy.Currently offering - fish based creamy treats, fancy feast fish based cans.Gabapentin 100mg given 2 hrs ago as growls at the vets.Examination: Demeanour - very anxious, growling for examEyes/ears/nose/oral - Pupils symmetrical. Ears clean. No nasal discharge. Grade 1 dental diseaseLNs - wnlCVS - no murmur or arrhythmia, strong & synchronous femoral pulseResp - normal BVS, normal RR & effortSkin - good coat quality, delayed skin tent 3sAbdomen - comfortable on palpationMSK - ambulatory all 4 legsNeuro - BAR, no overt cranial or peripheral nerve deficitsRectal - soft stools noted on temperature probeUrogenital - nad--- 09/03/2026 10.45 ABR:Problem list1. Est 6-8% dehydrated2. HyporexiaDDx - organ disease/CKD/AKI, infectious, GIT upset (FB, dietary indiscretion, food allergy, IBD etc)Recommended bloods + IVFT + maropitant to start. O consented. P would not allow bloods without any sedation d/t being very fractious/anxious. O consented to sedation as well to facilitate bloods + catheter.Sedation: methadone 0.1mg/kg = 0.05ml + medetomidine 10mcg/kg = 0.05ml + alfax 1mg/kg = 0.4ml IM **burito wrapped for this** @11am** vomited after sedation, contained bile coloured undigested food, patient still awake/able to swallow at this point **Treatment:Maropitant 1mg/kg = 0.53ml given SC @11.15amStarted on IVFT (hartmanns) 40ml/hr (accounting for 6-8% dehydration + maintenance) for the first 6 hours while in hospital from 11am to 5pm discharge.P was noted to be cold after sedation, bear hugger placed until temp above 37.5Laboratory: Chem 17- SDMA back to normal range 10 (ref:0-14)- Creatinine 154 (slightly higher than last bloods a week ago, likely pre-renal)- Low K 3.1 (ref:3.5 - 5.8)CBC WNLUpdated Assessment: 1. Hyporexia after dental2. Possible diarrhoea - ddx - stress, infectious, dietary indiscretion, food allergy3. Mild hypokalaemia- DDx - most likely d/t hyporexia +/- GIT losses if diarrhoea is present4. Elevated SDMA & CBC changes - now resolved--- 09/03/2026 12:56:00 ABR:Updated O on how Kevin is going + blood work. Blood work unremarkable excluding low potassium which should improve on fluids + if we can get patient to eat well. Query if patient has diarrhoea given hx & findings on exam which may explain why P is hyporexic & not eating. Given improvement in clinic so far with hydration parameters & mostly unremarkable bloods I am happy to discharge patient this afternoon into owners care with a follow up appt with us tomorrow. I have advised about vomiting after sedation & signs to wat for aspiration pneumonia. O happy with plan.Plan:Discharge into owners care to monitor overnight -> please go to emergency if concerns.RV tomorrow morning to make sure P is getting better.Ondansetron 4mg BID PO PRN to encourage appetite.Offer hypoallergenic food firstly if willing to eat (in case any food allergy causing upset), if not offer fish based food.I have not dispensed prokolin as of yet but if P does develop D+ I have mentioned to O that vet who assess Kevin then may dispense this.    Vital Signs    MMColour: pink, sl tacky;       Weight: 5.33;       Temperature: 36.8;       HeartRate: 200;       BodyScore: 5-6/9;       DentalGrade: 1/4;       RespirationRate: 40;       CRT: 2s;