C10007210 / invoice 10000

HISTORY
Presented for ingestion of 12 chocolate cupcakes 1h prior

EXAM
BAR, friendly, BCS 5/9
HR 112bpm, no m/a
RR pant
Temp not taken
Abdomen soft and comfortable
MM pm, CRT <2s

ASSESSMENT
Chocolate ingestion. 
Fit to induce emesis

PLAN
Given apomorphine TM
V+ food + dark brown material
Reversed with metoclopramide SC

COMMUNICATION
O to monitor for ongoing V+ or muscle tremours. 

HISTORY
Presented for ate compost anytime after 5pm (now 6:30)

EXAM
BAR, friendly but nervous, BCS 5/9
HR 72bpm, no m/a
RR pant
Temp 38.1oC
Abdomen slightly tense
MM pm, CRT <2s

ASSESSMENT
Fit to induce emesis

PLAN
Given apomorphine 0.1mg/kg SC
V+ coffee grounds, pieces of meat, carrot, pasta
Given metoclopramide 0.5mg/kg SC
O to monitor for signs of toxicity (tremours, unable to settle etc). 

COMMUNICATION
As above

 HISTORY:
- Here for green plumbs ingestion from back yard tree duringt he day
- pet vomtied 5 times and ate grass before coming 
- DUDE normal

EXAM:
Hydration: normal hydration
CRT: <2sec
Mentation: BAR/QAR
BCS: 6/9
Eyes: Clear corneas, bright, no discharge noted
Ears: Clean and clear
Nose: clean and clear, no discharge noted
Mouth: Calculus 0/4, no tartar and gingivitis noted
MM: pink
Throat: (-)ve tracheal pinch
LNs: soft and small
CV: 
-- HR: 120bpm
-- regular rhythms, no murmur auscultated, femoral pulses strong and synchronous
Resp: 
-- RR: 20bpm
-- normal effort and pattern, all lung fields clear
Abdo: soft and comfortable
MSK: ambulatory x 4, no obvious limp, normal ROM on all legs
Integ: 
- mild redness in both axillas and on ventral throax 
Neuro: no gross CN deficits - normal reflexes
Genitourinary: no discharge noted - wnl
Rectal: not performed
T: not taken

ASSESSMENT:
- plumb ingestion 

TREATMENT:
- 1ml Redivom SQ 
- pet vomited dog food and grass only 
- gave 2 ml Metochlopramide SQ 
- recom Barazone - 1-2 pumps SIW onto red areas

COMMUNICATION:
- as above