C10032281 / invoice 10000

Reason: No Improvement DR Laboured breathing seems painful to walk not eatring since thursday had meloxicam this AM without food had not been able to give antibiotics does not think the Fent patch has helped at all btaNo eating/ drinking- seems to be in painHas passed concetrated urine todayExamination:  Mm sticky but pinkAbdom comfortableT- 39Anaesthesia:  Dehydrated ? Painfull- has fent patch onPlan:  Admitt IV fluids pushed @ 100ml/hr R saph v.Syringe fed recovery- took well then ate some herselfI nj parcetamol IVAFast- no F fluid in abdomLarge bladder 53x 60mm- out for a wee- walked well outsideUAUSG 1.005URO normalPRO trace PH 6BLO moderateKet -Bil -Glu -    Vital Signs    MMColour: Pink;       Temperature: 38.7;       HeartRate: 120;       RespirationRate: 40;       CRT: <2;