C10032537 / invoice 10000

Reason: Rat Bait IngestionAppointment Notes: approx 1-2 BLUE pelletsConsultation Time: 17:00History: Seen by owner to eat 1 blue ratbait pellet 40min - 1 hour ago.Subjective: BARObjective: Temp not taken   MM pink, moist  CRT 1s  HR   100BCS:   5/9                       Wt: 15 kgPain Score (CSU):   0/4CV:  Nil murmur/arrhythmia, skin turgor normal, mm moist. FP=HR, readily palpable bilaterally      RESP:   RR and effort normalGIT:   NAD oral exam, NAD abdo palpation. U/G:  NADNeuro:  Mentation appropriateM/S:  Good body condition, ambulatory without lamenessInteg:  NADOphth:  Pupils mid sized, PLR normal, visualLNs: Nil peripheral lymphadenopathyProblem List:Recent ingestion anticoagulant rodenticide productAssessment: Recent ingestion anticoagulant rodenticide product.  Prompt decontamination but no risk of developing coagulopathy given no rodenticide material found in vomitus and no access more than 1 hour prior to presentation. Vomited until only bile was produced. Options Offered to Client:O consented to emesis induction at presentationFollowing emesis induction offered monitoring at home - O comfortable with planTreatment:Emesis induction - apomorphine 1 tablet onto gingiva - vomitus contained food fed in clinic prior to emesis induction. No rodenticide in vomitus.Metoclopramide 0.5mg/kg SCPlan:Rx as aboveConfine and monitor    Vital Signs