C10022997 / invoice 10000

Reason: IV FluidsAppointment Notes: RHExamination:Clinically stable, BARThoracic grade 3 L sided heart murmur regular no pulse deficits Ab palp slightly thickened SI loopsLN unremarkableOral exam unremarkableAural exam unremarkableHydration unremarkableOcular exam bilateral NSMS generalised OANeuro unremarkableAssessment:Improving but still d+                                                                                               Treatment: MetronidazoleIV Fluids: IV & Fluid Therapy: IV catheter with 14ml/hr of hartmansSedation: ACP 0.01mls/kg +/- methone 0.02mls/kg IVRadiology :  Views: R Lat thoraxFindings: VLAS 2.3Plan: (updated)Client communication: CP - Called Gwyneth informed that she is looking brighter today. Plan today is to stay on IVF and do a chest x-ray to assess her heart murmur. Depending on the x-ray she may require heart medications.DM - discussed POA and what we doing currently. O understood. Made O awar eof costs and that there will be a ambulance fee asso with the bill today. O understood    Vital Signs    MMColour: Pink;       Temperature: 38.5;       HeartRate: 132;       RespirationRate: Panting;       CRT: < 1 sec;