C10013428 / invoice 10000

Reason: Pom TxHistory: Second night POM transferPancreatitis diagnosed on ultrasound Last dose buprenorphine 10:30am Given cefazolin during the day and no maropitant Day vet discussed feeding tube with GP on handover before feeding tube O notes during admission that june does not eat organ meats and usually only eats boiled chicken Informed would offer different foods overnight with goal to get eating otherwise feeding tube may be required Subjective: BARObjective: Temp  38.4          MM Pink             CRT 1.5             HR 200 -> 180            FP norm CV:  NADRESP:   NAD           RR 32GIT:   mild cranial abodminal pain U/G:  NADNeuro:  NADM/S:  NADInteg:  early phlebitis RFL at site of previous catheterOphth:  NADTreatment: Early phlebitis observed on entry, cleaned with dilute chlorhexidine and saline, recommend monitoring Buprenorphine 5ug/kg patch placed 7:30pm 10/3 - ( to be removed 17/3) LRS 18ml/hr + spiked 30mmol Kcl (provided by GP)Transitioned to LRS 9ml/hr  non spiked at midnight after EPOC re-evaluation Maropitant 1mg/kg IV Transitioned from cephazolin to Amoxyclav 50mg q12 PO (as eating) Diagnostics: PCV TP 35/ 82 EPOC pH 7.406 (H), K 4.3 (H) Progression: No V+/D+Urinated Reasonably comfortable with buprenorphine patch 5ug, placed Replaced IV, occludedEcollarNoted pupils not as mydriatic as usual accentuating previous exotropiaClient Communication:Updated in the morning with overnight progression. Now is eating well and comfortable reasonable to trial at home Discussed discharge from AEC if owner wants, we will contact GX Discussed ate RC sensitivity wet food well. I recommend continuing this as suspect that june may not be getting a complete diet if only eating chicken Plan: Discharge 9am Bupreorphine patch Food trial Amoxyclav 50mg q12 PO    Vital Signs    Weight: 4;