Received Oct 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| FLU3 | INFLUENZA (SEASONAL) (FLUBLOK) | SANOFI PASTEUR | 1 | u8823da | LA |
1414 influenza vaccine given. 1425 patient unresponsive. UF off, rinsed back, 500ml saline admin, 02 6 L, trendelenburg, Epi 0.3mg given L thigh IM. Benadryl 50mg IVP given, 125mg Solumedrol IVP given. 1426 Patient responsive. Notified PA, Dtr and DO. Added Influenza vaccine as an allergy.
none known
Diagnoses ICD 10 & 9 ICD 10 Only ICD 9 Only Description Code Status Type Priority Start Date End Date 22202464 Acute posthemorrhagic anemia D62 Active-chronic Comorbidity Secondary 08/21/2025 08/24/2025 21669924 Age-related physical debility R54 Active-chronic Comorbidity Secondary 05/11/2025 05/23/2025 20211327 Allergy, unspecified, initial encounter T78.40XA Active-chronic OrderDiagnosis Secondary 07/25/2022 20211326 Anaphylactic shock, unspecified, initial encounter T78.2XXA Active-chronic OrderDiagnosis Secondary 07/25/2022 20211318 Anemia due to antineoplastic chemotherapy D64.81 Active-chronic Comorbidity Secondary 03/18/2020 20211311 Anemia in chronic kidney disease D63.1 Active-chronic OrderDiagnosis Secondary 05/22/2019 21679703 Anorexia R63.0 Active-chronic Comorbidity Secondary 05/11/2025 05/23/2025 22212962 Anxiety disorder, unspecified F41.9 Active-chronic Comorbidity Secondary 08/21/2025 08/24/2025 21670492 Anxiety disorder, unspecified F41.9 Active-chronic Comorbidity Secondary 05/11/2025 05/23/2025 20211332 Chest pain, unspecified R07.9 Active-chronic OrderDiagnosis Secondary 08/04/2022 20211317 Cloudy (hemodialysis) (peritoneal) dialysis effluent R88.0 Active-chronic OrderDiagnosis Secondary 02/18/2020 20211316 Contact with and (suspected) exposure to other hazards in the physical environment Z77.128 Active-chronic OrderDiagnosis Secondary 02/14/2020 20211323 Covid-19 U07.1 Active-chronic Comorbidity Secondary 02/25/2022 21802840 Dependence on wheelchair Z99.3 Active-chronic Comorbidity Secondary 06/07/2025 06/13/2025 22213763 Depression, unspecified F32.A Active-chronic Comorbidity Secondary 08/21/2025 08/24/2025 21670491 Depression, unspecified F32.A Active-chronic Comorbidity Secondary 05/11/2025 05/23/2025 20211321 Diarrhea, unspecified R19.7 Active-chronic OrderDiagnosis Secondary 12/30/2020 22212963 Difficulty in walking, not elsewhere classified R26.2 Active-chronic Comorbidity Secondary 08/21/2025 08/24/2025 20211308 Discitis, unspecified, site unspecified M46.40 Active-chronic Comorbidity Secondary 05/17/2019 22231100 Dyspnea, unspecified R06.00 Active-chronic Comorbidity Secondary 08/21/2025 08/24/2025 20211341 Encounter for adequacy testing for hemodialysis Z49.31 Active-chronic OrderDiagnosis Secondary 03/07/2024 20211319 Encounter for adequacy testing for peritoneal dialysis Z49.32 Active-chronic OrderDiagnosis Secondary 06/10/2020 20211315 Encounter for immunization Z23 Active-chronic OrderDiagnosis Secondary 09/24/2019 21114716 Encounter for screening for upper gastrointestinal disorder Z13.810 Active-chronic Comorbidity Secondary 01/30/2025 02/02/2025 20211303 End stage renal disease N18.6 Active-chronic ESRD Primary 05/17/2019 20211305 Essential (primary) hypertension I10 Active-chronic Comorbidity Secondary 05/17/2019 20211340 Fluid overload, unspecified E87.70 Active-chronic Comorbidity Secondary 01/29/2024 20211336 Fluid overload, unspecified E87.70 Active-chronic Comorbidity Secondary 09/19/2022 20211337 Fluid overload, unspecified E87.70 Active-chronic Comorbidity Secondary 04/24/2023 20211322 Hyperkalemia E87.5 Active-chronic OrderDiagnosis Secondary 02/22/2021 21802838 Hyperkalemia E87.5 Active-chronic Comorbidity Secondary 06/07/2025 06/13/2025 20211331 Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease I12.0 Active-chronic OrderDiagnosis Secondary 08/04/2022 20211325 Hypokalemia E87.6 Active-chronic OrderDiagnosis Secondary 07/18/2022 20211339 Hypotension of hemodialysis I95.3 Active-chronic OrderDiagnosis Secondary 07/17/2023 21115483 Iron deficiency anemia secondary to blood loss (chronic) D50.0 Active-chronic Comorbidity Secondary 01/17/2025 01/27/2025 20211307 Iron deficiency anemia, unspecified D50.9 Active-chronic Comorbidity Secondary 05/17/2019 20211335 Long term (current) use of anticoagulants Z79.01 Active-chronic OrderDiagnosis Secondary 08/04/2022 20211310 Malignant neoplasm of overlapping sites of bladder C67.8 Active-chronic Comorbidity Secondary 05/17/2019 20211312 Mild protein-calorie malnutrition E44.1 Active-chronic OrderDiagnosis Secondary 06/07/2019 20211314 Nausea R11.0 Active-chronic OrderDiagnosis Secondary 06/28/2019 20211333 Nausea with vomiting, unspecified R11.2 Active-chronic OrderDiagnosis Secondary 08/04/2022 20661022 Other disorders of phosphorus metabolism E83.39 Active-chronic OrderDiagnosis Secondary 03/06/2025 21670493 Other encephalopathy G93.49 Active-chronic Comorbidity Secondary 05/11/2025 05/23/2025 21916774 Other fatigue R53.83 Active-chronic Comorbidity Secondary 06/28/2025 20211342 Other fluid overload E87.79 Active-chronic Comorbidity Secondary 05/27/2024 20211330 Other forms of dyspnea R06.09 Active-chronic OrderDiagnosis Secondary 08/04/2022 20211338 Other hypotension I95.89 Active-chronic OrderDiagnosis Secondary 06/23/2023 20211328 Other specified coagulation defects D68.8 Active-chronic OrderDiagnosis Secondary 08/04/2022 20211313 Pain, unspecified R52 Active-chronic OrderDiagnosis Secondary 06/26/2019 20211334 Pruritus, unspecified L29.9 Active-chronic OrderDiagnosis Secondary 08/04/2022 20211329 Renal osteodystrophy N25.0 Active-chronic OrderDiagnosis Secondary 08/04/2022 20211306 Secondary hyperparathyroidism of renal origin N25.81 Active-chronic Comorbidity Secondary 05/17/2019 21802839 Secondary hypertension, unspecified I15.9 Active-chronic Comorbidity Secondary 06/07/2025 06/13/2025 20211320 Shortness of breath R06.02 Active-chronic OrderDiagnosis Secondary 08/27/2020 21679702 Soft tissue disorder, unspecified M79.9 Active-chronic Comorbidity Secondary 05/11/2025 05/23/2025 20211304 Type 2 diabetes mellitus with diabetic chronic kidney disease E11.22 Active-chronic Primary Cause of Renal Failure Primary 05/17/2019 20211324 Unspecified fracture of left talus, sequela S92.102S Active-chronic Comorbidity Primary 05/04/2022 21802837 Unspecified open wound of unspecified buttock, initial encounter S31.809A Active-chronic Comorbidity Secondary 06/07/2025 06/13/2025 20211309 Unspecified osteoarthritis, unspecified site M19.90 Active-chronic Comorbidity Secondary 05/17/2019 20706510 Vitamin D deficiency, unspecified E55.9 Active-chronic OrderDiagnosis Secondary 02/27/2025 21916773 Weakness
Vitamin D (Calcitriol) Oral 0.25 mcg ORAL Every Treatment albuterol sulfate HFA 90 mcg/actuation aerosol inhaler Inhale 2 puff using inhaler once a day as needed For wheezing or shortness of breath . none amlodipine 5 mg tablet
fentanyl Unknown Drug Allergy lisinopril Breathing Problems Drug Allergy Norco Unknown Drug Allergy sulfadiazine Unknown
not applicable