Received Feb 21, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 3 | FL3198 | UN / UN |
BRIEF OVERVIEW: Discharge Provider: MD Primary Care Physician at Discharge: DO Admission Date: 2/10/2025 Discharge Disposition: Deceased DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Acute on chronic systolic heart failure (HCC) [I50.23] Gram-negative pneumonia (HCC) [J15.69] Sepsis (HCC) [A41.9] Pneumonia of left lower lobe due to infectious organism [J18.9] COVID [U07.1] Acute on chronic respiratory failure (HCC) [J96.20] HOSPITAL COURSE: Patient is an 88yr old male with a history of HTN, CAD, CHF, CKK. GERD, ILD, COPD, Pulm HTN, CKD who presented with dyspnea, cough, weakness, found to have COVID and now being managed for Acute Respiratory Failure. He has been worsening in past few days and recently transferred to PCU. This morning he complained of chest pain which seemed to have improved somewhat with nitro, now rated as a 4/10. He however remained very frail, weak and severely debilitated. He said he cannot continue like this and just wants to be done. Acute Hypoxic Respiratory Failure secondary to COVID vs bacterial superinfection vs ILD exacerbation - He was found to have COVID 02/10/25 with possible bacterial superinfection and has been having worsening respiratory distress requiring HFNC oxygen and transfer to PCU. CTA from 02/16 revealed extensive pulm findings favoring multifocal pneumonia vs nonspecific pneumonitis. Pulm consulted, suspect acute decompensation is likely due to superinfection vs possible ILD exacerbation and abx broadened to vanc and zosyn with continued steroids. Blood cultures no growth so far. Patient remained very miserable with worsening marked respiratory distress despite being on HFNC oxygen. He expressed that he cannot do this anymore and just wants to "end it". Hospice consulted and he was evaluated for GIP. He was started on dilaudid as he received minimal relief with morphine. Patient died before start of care for hospice. Time of death 12.21pm