C10013277 / invoice 10000

Reason: Mpl AdmitHistory:Presenting for: Morris presented for pre-anaesthetic assessment prior to scheduled surgical procedure, with a 3-day history of vomiting since commencing Losec tablets on Sunday.Diet:- Appetite remains good, eating normal amounts but subsequently vomiting- Someone at the beach gave Morris an unknown treat this morningV/D/C/S:- Vomiting commenced Sunday after starting Losec tablets, continuing Monday and Tuesday- Frequency: 3-4 vomits per day- Often vomits up the tablet- No vomiting prior to Sunday or during car travel from Southwest Rocks- No diarrhoeaCurrent Meds:- Losec - commenced Sunday, discontinued yesterday morning due to suspected association with vomiting- Trazodone administered this morning for pre-anaesthetic sedationLifestyle Risk Factors:- Swims at beach in mornings with many people around- Previously rehomed another dog (Reggie) due to aggression towards MorrisOther:- Recent travel from Southwest Rocks with no issues- Energy levels remain good, still walking well though laying around slightly more than usual- Drinking normally- Reduced faecal output due to decreased food retention- Owner has crate available for post-surgical recoveryDiet kibble and chicken, no change, no bonesExamine:Bar, mild sedate w trazBehavioural: Relaxed and dopey from Trazodone administration this morningCardiovascular: Normal heart soundsAbdominal: Normal on palpationTpr wnlPln wnl mm p*M crt <2sAssessment:Vomiting - possible adverse reaction to Losec tablets given temporal association with commencement of medication - however uncommon. Vs otherPlan:Medications/Treatments:- Anti-nausea injection administered today ($)- Discontinue Losec permanentlyDiet Recs:- Bland diet (chicken and white rice) in 3-4 small meals, or gastrointestinal care food- Wait at least 1 hour after injection before offering foodAdditional Discussion:- Surgical procedure rescheduled due to recent vomiting episodes and concern about anaesthetic risk in patient with potential gastrointestinal upset- No charge for pre-anaesthetic assessment todayClient Comms:- Team to call tomorrow to monitor progress and ensure vomiting has resolved- Contact clinic if vomiting continues despite anti-nausea injection, if patient becomes unwell, or if other concerning signs develop- Reschedule surgery once patient feeling completely well- Post-surgical crate rest required for approximately 6 weeks    Vital Signs