C10024471 / invoice 10000

Reason: Panting Started In Last Hr, O V ConcernedAppointment Notes: Overdue remindersHistory: Had pleural effusion last weekend, went to ARH homebush ass concerned over increased RR Cerenia, odansetron + steroids (40mg SID) Shivering, panting today, increased RR Today has been staying in the house, seemed normal then acute shivering and panting Had half a burger patty 2PM Parasite cx utd Last prednisolone last night 6PM Examination: Alert, responsive, but tremors and panting ++ Ears/eyes nad Accepted treats Crt 2 s, mm pink HR regular beats, 96bpm, slightly muffled sounds. Ventral portion of chest muffled (suspect effusion) - dorsal fields clearAbdo palp painful Unable to take temperatureSeems stiff - stiff to bend head and neck, and yelped when palpating around ear base/submandibular region Treatment: Consent has been given by the client to proceed with this treatment  -  YesButorphanol 0.6ml IM for analgesia/sedative Niramine injection 1ml IM in case of reaction Plan:F Lucky does not improve tomorrow, O will euthanase as ARH suspect high suspicion of neoplasia O does not want Lucky to be in pain or suffering Advised today was just symptomatic tx not cure or investigations Review tmr    Vital Signs    Weight: 25;