Received Feb 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 4 | GH9703 | UN / UN |
Name: Medical Record #: Age: 75 y.o. DOB: Admit date: 1/28/2025 Discharge date: 1/31/2025 Attending Physician at the Time of Discharge: DO Primary Care Physician: DO Reason for Admission: hypoxia Brief Summary of Hospital Stay: 75 y.o. female with ESRD on hemodialysis presented to ED with difficulty breathing. Admitted with covid infection causing acute hypoxic respiratory insufficiency. She was started on dexamethasone with gradual improvement. She underwent usual hemodialysis while admitted. Problem list: Acute respiratory insufficiency with hypoxia due to covid pneumonia -dexamethasone through 2/4 -guaifenesin, incentive spirometry, mobilize ESRD on hemodialysis -T/Th/Sat Coronary artery disease -aspirin, atorvastatin -metoprolol, Imdur Hypertension -amlodipine Diabetes mellitus type 2 -increase tresiba to 15U while on decadron, back to 8U after -home humalog Hypothyroid -levothyroxine Although leaving today, this patient will require ongoing assessment and treatment, with adjustments to the plan as appropriate. Medicine is complicated and unforseen changes in status may occur. Discharged to Home.