Reason For Visit: Check bloodwork for chemotheraphy refill

PROBLEM: Vomited last week after chemo

ALERT: Drug reaction to Opioids. No Sedation without owner approval

ALERT: Heart Murmur Grade I

ALERT: Round Cell Tumor. Currently on chemotherapy

ALERT: Dog Aggressive

RX: Fluoxetine 40mg SID

RX: Palladia 50mg every 3 days WEAR GLOVES

RX: Palladia 10mg every 3 days WEAR GLOVES

RX: Pepcid 10mg BID

RX: Diphenhydramine 50mg SID

RX: Trifexis > 40 lbs. Give monthly