C10032888 / invoice 10000

Reason: Fish Hook In MouthAppointment Notes: ETA 6pmHistory: Ate fish hook and bait about 5.30pm brought straight downHas had anaesthetic before no issuesExamination: BAREENT adult dentition pink gums crt <2s, mild tartar on teethChest ausc clear no murmurs HR 100 pulses S&sRR 40 normal lung soundsAbdo palp soft and comfortableFish hook caught on LU lip, tip not throughLaboratory: Assessment: Fish hookTreatment: Discussed sedation to remove - okedSedated with methadone 0.4ml  + dom0.15ml IM. Profound sedationIVC placedTopped up with alfax before removing fish hookHook pushed through lip, tip cut off, removed with no complicationsAntisedan 0.15ml given IIMSmooth recovery but nauseous when awake - prevomax given 1mg/kg IVMetacam inj given 0.56ml IV before IV removed to help with swellingDischarged, no meds to go home with, watch for swelling and discharge. Josh is happy with planConsent has been given by the client to proceed with this treatment  -  Yes/No Plan:    Vital Signs    Weight: 14;