C10026819 / invoice 10000

Reason: Feinting Spell (Twice 15 Mins Ago)Consult Time: 12.00pmHistory: In the past hour had two episodes of collapse within 15 minutes of each other.Owner was at a cafe, walking through grass when incident occurred. Subjective: BAR, ambulatory, anxiousObjective: Temp            MM: pink/moist              CRT: <2             HR             FPCV:  NADRESP:   NAD           RRGIT:   NADU/G:  NADNeuro: normal mentation, ambulatory, anxious and hiding, is like that at the vet according to owner. M/S:  NADInteg:  NADOphth:  NADEPOC:- pCO2 37.5 mmHg [LOW]- pO2 44.8 mmHg [HIGH]- cSO2 79.9% [LOW]- Ca 1.42 mmol/L [HIGH]- Glu 6.9 mmol/L [HIGH]All other results WNLPCV/TP- 52/60BP- 102/68- MAP 75Assessment: Plan: Discussed differentials of exercised induced collapse, primary heart disease, anaphylaxis. Discussed history more consistent with EIC, recommend EPOC and PCV/TP to rule out anaphylaxis. Owner consentedTreatment: Consent has been given by the client to proceed with this treatment  -  Yes/NoButorphanol 0.4 mg/kg IM @ 12.30pm    Vital Signs    Weight: 14.2;