C10021402 / invoice 10000

Reason: Chemo - Carboplatin, AFAST, Panc LipaseAppointment Notes: Special payment terms existDiagnosis: Disseminated haemangiosarcoma; R lateral thoracic subcutaneous HSA MC 8; Splenic HSA. MC 9 History: O reports Spooner was very lethargic for 4 days post chemo but then picked up and has been doing well since then. They feel that he used to be a "big drinker" but has been drinking less recently.Had gabapentin at 6:30AM before the car ride.Had bloods taken on 10/3/26 at RV - West wyalong vet sxCurrent Medications: (being given post chemo)1) mirtazapine 3.75 mg (1/4 of 15 mg tablet) every 3 days 2) maropitant 8 mg (1/2 of 16 mg tablets) SID 3) ondasetron 2 mg (1/2 of a 4 mg wafer) BIDHave adequate supply of all 3. Examination: 4.96kgHR 200 PR regular RR 36 normal resp effort MM pale pink and moist CRT 1-2s Temp 37.0Laboratory: (Bloods taken at RV on 10/3)HCT 24.3%Neu 12.34 x 10^9/L PLT 777 CREA 71 umol/L QPL 1.9 U/L (0.0 - 4.4)Assessment: Fit for chemotherapy. Treatment: BW 4.96kg = 0.294m2Carboplatin (10mg/ml)  210mg/m2 IV = 61.74mg = 6.1mlMaropitant 1 mg/kg IV = 0.5mlProcedure:AFASTw. ZY, NADPlan: 1 week CBC @RV (Week 4)2 weeks CBC @RV (Week 5)Back at ARH in 3 weeks for Week 6 CBC/CHEM + Doxorubicin    Vital Signs