C10022014 / invoice 10000

12/03/2026 REASON: {__}
Nurse: {__}
Presented by: {__}
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HOME CARE AND PREVENTIONS
Vaccinations: {__}
Nutrition: SPD chicken and rice 
Worming: {__}
Hwp: {__}
Flea Treatment: {__}
CE: {__}
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SUBJECTIVE / HISTORY: 
doing well 
still anxious with vet 
BT

O hold him to give sedation inj 

found nth 
EDDU well
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CURRENT / ONGOING MEDICATION AND SUPPLEMENTS:
pred - ongoing
zyrtec - whole in the morning, half in the afternoon 
fish oil tablets 
rivaroxaban 
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OBJECTIVE / EXAM:
ASA Status (1-5): {__}
BCS (1-9): {__}
DS (0-4): {__}

T: {__}
P: {__}
R: {__}

APPEARANCE/DEMEANOUR: {__}
SKIN & COAT: {__}
EARS: {__}
EYES: {__}
ORAL: {__}
MM: {__}
CVS: {__}
RESP: {__}
ABDO/GIT: {__}
UROGEN: {__}
NEURO: {__}
MSK: {__}
LN: {__}
n : Normal     - : Not Examined
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ASSESSMENT: 
Problems:
{__}

Ddxi:
{__}

Further Procedure & Diagnostic Needs [Client Response]:
{__}

Medication:
{__}

Ongoing medication prescriptions? Renewed prescriptions: {__}
[a] = Appointment     [d] = Deferred     [w] = Waived     [x] = Do it now
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PLAN / CE: 
{__}
Finalised by {__}
Rec = Recall     Rev = Revisit     Rem = Reminder

12/03/2026 SUMMARY: sedate for BT 
BLOODS: 
marginally low RBC
marginally elevated wbc
elevated cholesterol
low T4
elevated ALB and ALT 
elevated calcium 
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ANAESTHETIC:
metedomidine 0.15mg/kg and butorphanol 0.3mg/kg IM
muzzled + O hold for injection 

PROCEDURE:
sedate for BT

MEDICATION / PAIN RELIEF:
carry on all medication 
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PLAN / CE: 
Discharge Instructions:
- BT stable
- double check with SASH
- will contact O if any changes 

Keep confined for 2 weeks with minimal activity.

Rev {__}
Rec = Recall     Rev = Revisit     Rem = Reminder