C10018453 / invoice 10000

11/03/2026 DATE/TIME of CONSULTATION: 12:22hrs, Wed 11/03/26
CLINICIAN: amz
PRESENTING COMPLAINT:
still vomoting

HISTORY:
seen here 7/3 as suspected ingested car wash detergent
presented as anaphylactic shock
after IVFT dex, nriamine noradrenalin... went home on losec 
hasnt been able to keep food down, still seems quite bright
yellow bile

CLINICAL FINDINGS: Mentation: bright HR: 108 RR: MM: pink  CRT:  2 sec Temp . 38.3 
retained 504 and tarter
comfortable abdomen
borborygmi
yellow/green faeces on rectal not melena

PROBLEM LIST:

DIFFERENTIALS:
suspect GI issue post suspected anaphylaxis

TREATMENT:
maropitant sq at 12:50
home on ondansetron 2mg q8-12h

CLIENT COMMUNICATION/PLAN:
if vomiting 24-48h then rv gae or Dr P