C10018674 / invoice 10000

Reason: Ingested ChocolateAppointment Notes: Special payment terms existConsultation Time: 01.30History: Jimmy underwent surgery earlier today with his regular veterinarian and was discharged home afterward.At approximately 10:30 pm, he accidentally gained access to a small piece of dark chocolate.He was brought to the clinic for induction of vomiting.No other concerns have been reported by the owner at this timeSubjective: BARObjective: 160Temp   38.2         MM  pink and moist             CRT 2sec            HR   160          FP S+RBCS:   5/9                       Wt:   7.2kgPain Score (CSU):   /4CV:  NAD       RESP:   NAD           RR 20GIT:   ingested dark choclateU/G:  NADNeuro:  NADM/S:  NADInteg:  Sx wound- appear healing early stage Ophth:  NADLNs: NADProblem List:Recent ingestion of small amount dark chocolateAssessment: Recent ingestion and need gastric decontaminationOptions Offered to Client:Treatment:Induced emesis with apomorphineProductive brought up the dinner which eaten before chocolateUnable to find any traces for chocolateOffered option to take oral AC- declined Plan:Today, we induced vomiting in Jimmy after he reportedly ingested dark chocolate. While no chocolate was found upon examination, a large amount of food was present that had been consumed prior to the chocolate ingestion.It appears Jimmy may not have ingested a significant amount of chocolate. However, we advise monitoring him closely for any changes in behaviour or health such as tremoring, shaking or vomiting and diarrhoea, in such event please take Jimmy to the vet asap If you have any concerns regarding Jimmy’s progress, please contact your referring veterinarian or the AEC.    Vital Signs    Weight: 7.2;       Temperature: 38.2;       

Reason: Flat & LethargicBrought in as flat and lethargic at home and not eatingVery BAR and eating well in clinic during triageO has chosen to take P home instead and return if any concerns    Vital Signs