Received Feb 7, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 3 | FE3590 | UN / UN |
Name: Age: 78 y.o. Admit date: 1/30/2025 Discharge date: Feb 3, 2025 Attending Physician at the Time of Discharge: MD Reason for Admission: Patient presenting with shortness of breath and cough for 2 weeks. HR at clinic was in the 170s so he was sent to the ER. ER lab workup notable for stable CKD, initial troponin elevated at 31 (delta of negative 4). RVP positive for both Flu A and COVID. Initial EKG noted SVT with wide QRS tachycardia, RBBB and LAFB (bifascicular block) and T wave abnormality (possible inferior ischemia). CXR unremarkable. Patient given adenosine and initially converted to NSR. Patient then went back into SVT, amiodarone bolus given with conversion to NSR. Patient again flipped into SVT, cardiology consulted and recommended amiodarone drip and admission. Brief Summary of Hospital Stay: Principal Problem: Paroxysmal SVT (supraventricular tachycardia) / flutter with RVR. Likely due to viral infections with COVID and Flu. Did not have much resolution with IV amio and currently on low dose bblocker. Cards had given Dig push x2 and HR has settled and is now NSR> Conitnue lopressor. On eliquis. CXR neg. F/u Cardiologist Dr. Influenza A - on Tamiflu. Mucinex. Encourage IS, flutter. COVID infection - no hypoxia and chest clear. No need for steroids/remdesevir unless hypoxia. Hypokalemia - replaced. Active Problems: Chronic renal insufficiency -CKD 3a - stable. Benign paroxysmal positional vertigo Dyslipidemia associated with type 2 diabetes mellitus - on statin. Essential hypertension - monitor BP. Hypothyroid - TSH ok. On synthroid. Malignant neoplasm of prostate - stable. On flomax. Diabetes mellitus - BS stable. Resume home meds. The patient was discharged in stable condition with improvement of symptoms and appropriate follow up planned. Discharged to Home.