Received Oct 27, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| PNC20 | PNEUMO (PREVNAR20) | PFIZER\WYETH | 1 | LN4930 | IM / LA |
Acute hypoxic respiratory failure due to pneumonia Sepsis without organ dysfunction Patient presented to hospital with fever and rigors, found to be hypoxic to 85% put on 2 L, chest x-ray with opacity concerning for community acquired pneumonia. Interestingly patient does not have cough or shortness of breath, although he has some mild DOE. Patient was treated with 1 L of fluids for tachycardia to 100, otherwise hemodynamically stable. Ceftriaxone azithromycin was given inpatient. Given significant rigors, blood cultures were taken and remain negative at 24 hours, less concerns for bacteremia. He was afebrile at discharge, weaned off o2, and maintained O2 SATs above 93% on walk test. Smoking cessation was counseled. He will leave on Moxifloxacin for three more days to complete 5 days of CAP treatment. Incidentally he has had ongoing eye pain, intermittent, not worse with eye movements, not needing inpatient assessment, for which he would like to follow up with his outpatient ophthalmologist.
Chronic kidney disease, hypertension, lichen planus, non-alcoholic fatty liver disease, sleep apnea, type 2 diabetes
atorvastatin, empagliflozin, escitalopram, hydrochlorothiazide, insulin glargine, lisinopril, metformin, tirzepatide, valacyclovir,
Nyquil (confusion), latex (rash), IV contrast (bad taste/panic)
Blood cultures X 2 (7/17/25), RSV/flu/covid test (7/17/25), CMP, CBC, lactic acid, venous blood gas, urinalysis, POCT glucose (7/17/25)