C10011550 / invoice 10000

Hosp obs - Day 2 - acute GI v. hypoA

Acute GI improved.
Noting hyponatraemia from Sept, SF concern re. possible hypoA (Addisons). K+ was normal at that time.
Suggest we should follow up on this once Mishi is better - previous low Na; recurrent GI (seems to be presumed to be sensitivity), young female poodle - clinical signs and signalment, so have index of suspicion for this.
PCV 55%

No electrolytes seen on the blood samples ran by CVES yestedray; no value in doing today as has been on IVFT Hartmanns.

Suggest to repeat electrolytes next week; ACTH stim test advised to investigate possible Addisons which can present waxing/ waning illness inc. GI signs. Gave handout. She does have a V/D episode once or twice - usually just a quick puke then she's done, no lethargy etc.

Discus diet - on SPD single protein, thought the V+ that she did was not recongised food which she had been ofeered - suggest try a lower fat, one eg the kangaroo one is l think the lowest 

-> suepct acute GI after 'dietary indiscretion'

Demeanour   (BAR, a little anxious)  
HR/PR       (120-128)
RR          (40, norm)
MM          (pink, tacky) 
CRT         (<2sec)         
Temp         (38.5-38.7)
Weight      (5kg)

Activity
Walk          (Y)
Urination     (n)  
Defecation    (soft semi formed blob)  (walk) 
Faecal Score  (4)

Appetite      (Good)  
Diet          (prime 100 kangaroo) 
Amount eaten  (50g)
Drinking observed (ate all)
Vomiting      (N)

Pain score (5-3/24, a little anxious and unsettled, but abdo feels comfortable) 

FLUIDS     (Hartmanns)
Additives  ()
Rate       (29) ml/hr (5ml/kg/hr)

DIAGNOSTICS:

11.35AM: PCV: 54

Treatment ()
Other Drugs 
 Generic (pro-kolin) Dose rate () mg/kg Form (paste) Dose (3ml PO) No disp () Brand () 
 Generic (maropitant) Dose rate (1) mg/kg Form (Injectable) Dose (0.58ml) No disp () Brand () at midnight
methadone Q6, held this AM to assess pain without, seems comfortable

ASSESSMENT:

PLAN: 

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