C10023213 / invoice 20000

Hx:IVF fluid ran out overnightWell this AMUrinating wellHad some diarrhoea but started to get firmer at the endExamine:Brighter this AMLab:CRP slightly improved 94CBC- neutrophils have normalisedRepeat CRP 85 @ 5pmTreatment:Prevomax 1mg/kg SCPlan:TGH tonight and see how he goes    Vital Signs    

Appointment Notes: IVFTHx:VN abdo US yesterday to investigate suspected AHDS with pyrexiaCame back this morning and was put on fluids by nursesTB exam at 1pmAssessment:Brighter today compared with yesterdayLimited exam as tries to bite when examiningPlan:Continue IVF- ideally longer than last week as he relapsed quite quicklyContinue prevomax SIDRepeat CRP Basal cortisol todayLab:Leukocytosis slightly decreasedCRP still >100Assessment:Clinically he is improvedEating puppy mousse wellSTO and updated in the PM    Vital Signs    MMColour: Pink (Tries to bite);       RespirationRate: 12;       HeartRate: 90;       Temperature: 38.7;       BodyScore: 7;       CRT: 1-2;