Received Apr 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| HEPAB | HEP A + HEP B (TWINRIX) | GLAXOSMITHKLINE BIOLOGICALS | UNK | 324BY | IM / LA |
| PNC21 | PNEUMO (CAPVAXIVE) | MERCK & CO. INC. | 1 | E75E5 | IM / LA |
| TDAP | TDAP (BOOSTRIX) | GLAXOSMITHKLINE BIOLOGICALS | N/A | AK334 | IM / LA |
The patient was seen in ED 3/25/25 with weakness and altered mental status stating that she received the Hep B/A shot Thursday and hasn't been the same since Sunday Night. She was admitted with hyperglycemia and blood culture returned positive for Moraxella osloensis. She was discharged on 4/2/25 and saw PCP on 4/9/25. She then presented to ED with altered mental status and developed PEA arrest and was admitted to ICU intubated on invasive vent support. Per ED note: patient appeared obtunded initially with respiratory arrest followed by cardiac arrest. CPR was initiated immediately. IO access obtained and patient received epinephrine. On rhythm check, patient appeared to be in PEA. CPR was continued and patient received additional dose of epinephrine. Patient intubated and continuous compressions performed. Patient had return of spontaneous circulation after approximately 7-10 minutes of CPR. Blood pressure 70s/50s; vasopressors (Levophed) initiated along with IV fluid resuscitation. Patient received calcium chloride/magnesium sulfate and sodium bicarbonate. Subsequently she was found to have a NON-STEMI with elevated troponin and on heparin gtt. Extubated 4/16 with recurrent bouts of pulmonary edema requiring lasix and noninvasive vent support.
None acute.
Diabetes, COPD, polysubstance use, HTN, depression with anxiety, back pain, memory impairment. Hx hepatitis C (treated)
Outpatient Medications insulin glargine (LANTUS) subcutaneous injection (vial) Inject 34 Units under the skin 1 time per day amitriptyline (ELAVIL) 10 mg tablet Take 1 tablet (10 mg) by mouth every night at bedtime donepezil (ARICEPT) 5
Aspartame, Erythromycin, bactrim, doxycycline, nickel.
Echo with preserved EF. Troponin elevated.