C10018477 / invoice 10000

History: Examination: Vocalising / stressedHL paralysis bilaterallyBoth hind limbs cool with absent femoral pulses on palpationHR >200, no audible murmurThoracic auscultation ; crackles bilaterallyTFAST; B lines +++ bilaterallyLa: Ao 1.97 : 1BG 13.4Hind paws - not bleeding enough to get BGTreatment: Methadone administered at 0.2mg/kg IM at 20:15Placed into oxygenAssessment: FATEOwner Communication:Discussed treatment options, prognosis, underlying cardic disease that will be primary cause & cardiac work up required. Adv <50% discharge & likely to reoccur within 3 months. Resuscitation Code:Estimate for first 12 hrs:Ongoing estimate /12hrs:Treatment: Plan:    Vital Signs    Weight: 3.4;