C10011500 / invoice 20000

Reason: Gabapentin GAP ONLY HISTORY First clinical signs - pain relief of ongoing OA Summary - pain relief of ongoing OA Diagnosis - ongoing OA Treatment - Gabapentin for pain relief    Vital Signs    

Reason: Synovan And Beransia - CTBeransa Follow up Nurse visitStaff initials:Have you updated client and pet details on file?: yes  / noDemeanor:Heart rate:Gum colour:Dental health:BCS:Diet (brand):Preventatives:Behaviour for procedure:Current Medications:Client's feedback on response to medication - what have they seen?Client discussion (client observations, concerns, your recommendations)Beransa dose (mg) given:Next Appt booked - vet or nurse?Restate the Beransa Plan:- First three injections with a vet to assess response then will be with a nurse (no consult fee). Will need to see a vet every 6 months (may be a vaccination etc)- Continue or start joint support medication (eg 4cyte, Antinol, Synovan)Ongoing dosing frequency after first 3 injections may vary between patients - default is monthly.  Follow up Nurse visit - SynovanClient's feedback on response to medication - what have they seen?Client discussion (client observations, concerns, your recommendations)injection frequencyIf part of weekly injection series, this is injection # / 4Synovan dose (ml) given:Next Appt booked - vet or nurse?GAP ONLY HISTORYFirst clinical signs - consult with nurse for ongoing beransa and synovan for OA management Summary - ongoing OADiagnosis - ongoing OATreatment - Beransa and Synovan    Vital Signs    Weight: 6.3;