C10017510 / invoice 20000

11/03/2026 Hx/
Monday night - V+ clear fluid material, large amount
Tuesday - spent most of day laying outside (O assumed as was not home), definitely no dinner, unsure if ate breakfast.
Last night V+ everywhere brown watery material again even after offering tuna water 
Has not eaten properly since Monday night
Has had increased breathing rate at home (O noticed last night)
Diet: R/C Fit dry food, mince from supermarket + fish in gravy wet food
Indoor/Outdoor, O on property 
Does eat rabbits, will scavenge 
No drinking seen
May have defecated outside but not inside. Was in laundry last night and did not urinate overnight 
Very lethargic  

Ex/
QAR
MM pink, very tacky, CRT 2 seconds. Moderate gingivitis  
HR 200, no murmur/arrythmia
Lungs clear bilaterally, increased rate and effort 
Abdominal palpation comfortable, can feel hard faecal material in colon (normal amount)
MSK not assessed
No bladder palpable 
BT 37.6

A/
Inappetence
Dehydration 

Tx/
No treatment given prior to transfer to Newc 

Px/
Discussed given non-specific clinic signs that Ddx is very open - could be GIT inflam/infection vs more serious given tendency to go outside and explore
Gave O 2 options: 
1. Home with Cerenia, attempt rehydration with bland diet (boiled chicken) and broth. Discussed INI then presenting to Newc for hosp later in the day (but explained cons of this)
2. Admit for fluids, anti-nausea +/- bloods

O opted for Option 2 - have given estimate of up to $1000 (does have insurance). Discussed running bloods on OG end, O wanting to start with bare minimum (approx $700) and see, will proceed with bloods if needed. 
Transfer to Newc 

11/03/2026 Hartmans (LRS) - 7ml/kg bolus

11/03/2026 Respiratory Effort - Increased effort

11/03/2026 Buprenorphine Inj 0.3mg/ml - 0.13ml IV 6pm

11/03/2026 Day of hospitalisation: 1
Reason for Hospitalisation: inappetance and v+
Vet: ras
Nurse: smac
Morning assessment: painful abdomen - marked pain
poorly hydrated with poor perfusion parameters
Client communication & cost updated AM estimated consented for IVFT and symptommatic tx 
Plan for the day: assessment - serial pain and hydration assessment
IV fluid therapy: LRS - bolus on admission followed by 10% rehydration plan >24h
Medications: fentanyl CRI
maropitant single dose
buprenorphine TGH + pre-gabalin
Diagnostics and summary of results: o declined bloods and diagnostics

discussed later in the day pain assessment - and o consented to Xray series


Afternoon assessment: Xray - large bowel contains large volume faeces and gas
non obstructive small intestinal image on xray
normal serosal detail
normal renal imaging
Client communication & cost updated PM est inc $490 added for xrays FINALISE Invoice for today.
Working diagnosis: acute gastritis/pancreatitis
PLAN: monitor pain over the afternoon
improved with fentanyl 7/10 to 4/10
mild discomfort remains
improved hydration
appetant
no stools passed as yet
no v+


PLAN overnight - TGH for monitoring with o overnight - small bland meals (biome) + analgesia (pregabalin)
reassess at 8.30am tomorrow for re-admission prn or IV cath removal and OP tx

Vomitting at this time of unknown cause