test.txt

Suspension Last Name STitle Five 5 ML PO QID 4 times a day as needed 3 Albuterol-Ipratropium 103-18 mcg/Actuation Aerosol Last Name STitle Six 6 Puff Inhalation Q4H every 4 hours as needed for when on vent 4 Albuterol 90 mcg/Actuation Aerosol Last Name STitle Six 6 Puff Inhalation Q4H every 4 hours as needed for when on vent 5 Insulin Regular Human 100 unit/mL Solution Last Name STitle See sliding scale for appropriate dosing Injection ASDIR AS DIRECTED 6 Heparin Porcine 5,000 unit/mL Solution Last Name STitle One 1 Injection TID 3 times a day 7 Trazodone 50 mg Tablet Last Name STitle 0.5 Tablet PO HS at bedtime as needed 8 Captopril 12.5 mg Tablet Last Name STitle One 1 Tablet PO TID 3 times a day 9 Labetalol 200 mg Tablet Last Name STitle Two 2 Tablet PO TID 3 times a day 10 Acetaminophen 325 mg Tablet Last Name STitle 1-2 Tablets PO Q4-6H every 4 to 6 hours as needed 11 Acyclovir 5 Ointment Last Name STitle One 1 Appl Topical 6X/D 6 times a day 12 Citalopram 20 mg Tablet Last Name STitle One 1 Tablet PO DAILY Daily 13 Albuterol Sulfate 0.083 Solution Last Name STitle 2-3 Inhalation Q4H every 4 hours as needed for shortness of breath wheeze 14 Cholecalciferol Vitamin D3 400 unit Tablet Month/Day 2 Two 2 Tablet PO DAILY Daily 15 Calcium Carbonate 1,250 mg/5 mL 500 mg Suspension Month/Day 2 Ten 10 ML PO TID 3 times a day 16 Metronidazole 500 mg Tablet Month/Day 2 One 1 Tablet PO TID 3 times a day for 2 doses to complete 3 doses on 2122-2-6 and then to be discontinued 17 Prednisone 5 mg Tablet Date Range Three 3 Tablet PO DAILY Daily 18 Heparin Lock Flush Porcine 100 unit/mL Syringe Date Range 2-3 MLs Intravenous DAILY Daily as needed 19 Ativan 1 mg Tablet Month/Day 2 0.5-1 Tablet PO every 4-6 hours as needed for anxiety Discharge Disposition Extended Care Facility Hospital Medical Center Hospital1 3597 Discharge Diagnosis Primary 1 Hypoxic respiratory failure requiring intubation now s/p tracheostomy and PEG 2 Community acquired pneumonia 3 Ventilator associated pneumonia 4 ARDS 5 Pancreatitis 6 Depression 7 Rheumatoid arthritis 8 Polyneuropathy and myopathy of critical illness 9 Anemia 10 Clostridium difficile colitis Discharge Condition Stable had been tolerating trach mask currently on pressure support and tolerating well Discharge Instructions Return to the emergency room if you develop fever chills if diarrhea persists or worsens post antibiotic course worsening abdominal pain nausea inability to advance tube feeds. Please take your medications as prescribed Please note we have started you on the antidepressant celexa Additionally we have decreased your prednisone for rheumatoid arthritis to 15mg daily If your dose increases chronically from this you should discuss with your doctor the need for PCP Name Initial PRE 1102 Followup Instructions Please follow up with your primary care doctor First Name Titles Last Name Titles 69941 t when appropriate from rehab Admission Date 2148-10-13 Discharge Date 2148-10-15 Date of Birth 2097-9-27 Sex M. Service Doctor First Name 147 Allergies Patient recorded as having No Known Allergies to Drugs Attending First Name3 LF 668 Chief Complaint Dislodged Dophoff feeding tube Major Surgical or Invasive Procedure Placement of dophoff catheter under fluro History of Present Illness Pt with episode of hiccups which pt had c/o for many months resulting in the dislodging of his dophoff feeding tube Past Medical History anemia Hepatitis C CHF CRI DVT portal hypertension Depression Social History Lives at Hospital 106240 Rehab Centersmoking 15pack year hitoryno etohremote IVDformer Company 2318 worker Family History noncontributary Physical Exam NAD AAO times 3 RRR S1+S2 CTA Bilat Soft NT/ND incision healing well Pertinent Results US ABD LIMIT SINGLE ORGAN 2148-10-14 2:33 PM REPORT There is a dumb-bell shaped collection in the gallbladder fossa which contains complex internal echoes Each of the limbs of the collection measure approximately 4 cm in diameter each The lesion passes close to the stomach posteriorly but is extragastric The liver parenchyma appears normal throughout No focal hepatic mass is identified otherwise No subcapsular lesion is seen Status post cholecystectomy The common bile duct measures 7 mm in maximum dimensions The right kidney appears normal in size shape and echotexture Doppler ultrasound Doppler ultrasound was performed of the anastomosed vessels The hepatic veins appear normal There appears to be a clip intimately related to the middle hepatic vein which appears narrowed at this point Portal vein is patent with centrifugal flow The hepatic arteries have not been examined Brief Hospital Course Pt admitted on 10-13 after dophoff tube was accidentally d/c 'd after a episode of hiccups A NG tube was placed on admission Pt had an episode of nausea and emesis around the tube A dophoff was placed on 10-14 and the nausea and emesis resolved A RUQ US was performed which showed an evolving collection in the gallbladder fossa but was otherwise unremarkable Pt improved and was D/C 'd to return to rehab on 10-15 Discharge Medications 1 CellCept Pager number mg Capsule Sig One 1 Capsule PO twice a day 2 Megestrol Acetate 40 mg/mL Suspension Sig One 1 PO QID 4 times a day 3 Lansoprazole 30 mg Capsule Delayed Release E.C Sig One 1 Capsule Delayed Release E.C PO QD once a day 4 Methylphenidate HCl 5 mg Tablet Sig 1.5 Tablets PO QD once a day 5 Hydralazine HCl 25 mg Tablet Sig One 1 Tablet PO Q6H every 6 hours 6 Levothyroxine Sodium 150 mcg Tablet Sig One 1 Tablet PO QD once a day 7 Mirtazapine 15 mg Tablet Sig One 1 Tablet PO HS at bedtime 8 Ribavirin 200 mg Capsule Sig Two 2 Capsule PO QD once a day 9 Metoprolol Tartrate 50 mg Tablet Sig 1.5 Tablets PO BID 2 times a day 10 Valganciclovir HCl 450 mg Tablet Sig One 1 Tablet PO BID 2 times a day 11 Trimethoprim-Sulfamethoxazole 80-400 mg Tablet Sig One 1 Tablet PO QD once a day 12 Interferon alfacon-1 30 mcg/mL Injectable Sig One 1 Subcutaneous TIW 13 Tacrolimus 1 mg Capsule Sig Two 2 Capsule PO twice a day 14 Prednisone 2.5 mg Tablet Sig One 1 Tablet PO QD once a day 15 Insulin Lispro Human 100 unit/mL Solution Sig One 1 Subcutaneous ASDIR AS DIRECTED Discharge
Admission Date 2109-7-21 Discharge Date 2109-8-13 Date of Birth 2053-6-5 Sex F. Service Doctor Last Name 1181 MEDICINE HISTORY OF PRESENT ILLNESS This is a 56-year-old white female with a history of right frontal craniotomy on 2109-7-1 for a dysembryoplastic angioneural epithelial lesion with features of an oligodendroglioma who was started on Dilantin postoperatively for seizure prophylaxis and was subsequently developed eye discharge and was seen by an optometrist who treated it with sulfate ophthalmic drops The patient then developed oral sores and