C10013302 / invoice 10000

Reason: Ate 4 GrapesConsult Time: 1930History: Peg ingested potentially up to 4 cut up grapes that the toddler may have dropped from 615pm onwards. No recent blood work. Not on any medications. O unsure how much was ingested. EDDU normally. Examination: Demeanour: QARVitals: HR=PR= 108 , mm pink, CRT  <2 sec, RR 24, Temp 38.1*CCVS: NAD on auscultation. No murmurs or arrhythmias noted. Pulses normal. Resp: NAD on auscultation. Normal bronchovesicular sounds. Normal respiratory effort and character at rest.Abdo: comfortable on palpation. MSK: normal gait. EENO: NADL/N: peripheral lymph nodes WNLIntegument: NADNeuro: No cranial or peripheral neurological deficits noted.Hydration: No clinical evidence of dehydrationNausea: None seenLaboratory: PCV/TP: 45/70 (clear) Blood Gases: (venous) pH 7.362PCO2 40.2HCO3 22.8BE -2.6cSO2  90.6% Electrolytes:Na+ 148K     3.8Cl   112Glucose 6.3 Lactate 2.32Ionised Ca 1.38Urea 3.0 LCrea 74Assessment: 1. Red grape ingestion - potential AKI riskA: emesis induced - brought up maybe up to one grape cut up, last vomitus only bile and foam. Reversed with metomide. Discussed IVFT vs baseline renal today and repeat renal values in 48h. O happy to proceed with baseline and will repeat values with RV in 48h. Baseline wnl. Plan: Close monitoring.Grape toxicity handout printed. Expect black stools with charcoal administration for next 48h. Recheck bloods in 48h. Treatment: Consent has been given by the client to proceed with this treatment  -  Yes1. Apomorphine 0.5 tab OTM 2. Metoclopramide 0.3mg/kg SC 3. Charcoal 5ml/kg PO--- 01/03/2026 09:34:12 AM CUH:Treatment - Resolved - Follow up text sent. HC    Vital Signs    Weight: 9.2;