C10013273 / invoice 10000

Appointment Reason: Poison / Vomiting / Bloods, Appointment Notes: Paws App Details:Booking Type: ConsultationBooking Notes: Ingested rat poison approximately 2000-2100 on the 8/3/2026. Induced vomiting at midnight 8/3/2026 at green cross vet centre and charcoal at 0130 9/3/2026. Needs PT (coagulation) time bloods 11/3 am. Owner Name: Teah Charlton Owner Email: Charltonteah25@gmail.comOwner Mobile Number: 0414800703Owner Address: 15 Second Ave, Moana SA 5169, AustraliaPet Name: RemiPet Species: DogPet Insured: YesWeb BookingClient name: Charlton Contact number: 0414800703Email address: Charltonteah25@gmail.comPatient name: RemiHISTORYPresenting for: Remy, a 3 year 4 month old female dog presented for potential rat bait ingestion over the weekend, requiring emergency veterinary assessment.Historical Conditions: Recent surgical procedure with E-collar worn for 3 weeks, healed well. Vomiting induced, small amount brought up, was about 4 hours from ingestion though.EXAMHR >120MM pk, moistT n/aMentation: BAR, nervousSkin: goodBCS: Good BCS notedHR: Slightly elevated over 120 bpm due to nervousnessBehavioural: Nervous during examination, better with nursing staff when distractedOral: Nice, happy, clean teeth with no big issuesMusculoskeletal: Moving well with no lameness or joint issues notedDiagnostics: Blood samples collected from cephalic vein for PT to assess for anticoagulant rodenticide toxicity. Results expected this afternoon if submitted before 11am.ASSESSMENTPotential anticoagulant rodenticide toxicity - requires coagulation testing as clinical signs typically develop 2-3 days post-ingestion due to vitamin K1 depletion affecting clotting pathways. Currently asymptomatic but within critical monitoring period.PLANDiagnostics:- Coagulation profile (PT as recommended by emergency vet) submitted this morning, results expected this afternoon- If clotting times normal: monitor at home for one week for signs of bleeding- If clotting times elevated at top of normal range: recheck in few days- If clotting times prolonged: commence vitamin K1 therapy, continue until repeat testing 2 days post-cessation confirms clearanceClient Comms:- Advised on clinical signs of bleeding to monitor including scleral haemorrhage, gum bleeding, easy bruising, haematuria, coughing blood, or neurological changes- Will contact this afternoon with blood results to determine next steps- Recommended removal of rat bait from property due to ongoing risk even with locked bait stations    Vital Signs    Weight: 21.9;