C10018790 / invoice 10000

Reason: Ate GrapeHistory: Rupert ingested a green grape that daughter dropped on floor approx 45min prior to presentationPrevious hx of raisin ingestion here at AESRupert has anxiety and is on the following medications that he had this morning: Catapres 250ug BIDPregabalin 75mg BIDExamination: BAR, anxious, nervousMM pink CRT 2sHR 120RR 32Temp DNP*care with exam, will snap and go to bite*Cardiovascular: cardiac auscultation normal no murmurRespiratory: clear lung sounds, normal resp rate/effortMusculoskeletal: ambulatory all 4 limbs. Neuro: NSF, normal gait posture and mentation. LN: NadEyes/Ears: NADAssessment: 1 grape in 9.2kg dog -> very low risk of toxicity, current recommendations are emesis if >1grape /4.5kg Owner still wishes to induce emesis. Treatment: 1/2 apomorphine tablet rubbed into gingiva with muzzle placed. Emesis > pieces of green grape + multiple large pieces of material (black and purple colour)Metoclopromide 0.3mg/kg IM injClient Communication:Discussed most of green grape is vomited up and do not anticipate any further issues from this. Discussed large quantity of black/purple material in vomitus - owner advises that Rupert chewed up a sock 3 days ago, owner did not think he had ingested any, just chewed. Advised this would have been a risk of GI obstruction had it remained in his stomach. There is of course a risk that some of this material has already passed into the intestinal area therefore please monitor for any signs of inappetance, vomiting, nausea, lack of stool, in the coming days.    Vital Signs    Weight: 9.2;