tokens: 688127038 EH 47449520 204512 3/5/2002 12:00:00 AM TCA overdose DIS Admission Date : 03/05/2002 Report Status : Discharge Date : 03/07/2002 ****** DISCHARGE ORDERS ****** HULLEKOTE , AU 329-72-53-3 Z23 Room : 29Z-191 Service : MED DISCHARGE PATIENT ON : 03/07/02 AT 11:00 AM CONTINGENT UPON Not Applicable WILL D / C ORDER BE USED AS THE D / C SUMMARY : YES Attending : UPHMADRE , CIOUSALE N. , M.D. CODE STATUS : Full code DISPOSITION : Rehabilitation DISCHARGE MEDICATIONS : FOLATE ( FOLIC ACID ) 1 MG PO QD ZANTAC ( RANITIDINE HCL ) 150 MG PO BID MVI THERAPEUTIC W / MINERALS ( THERAP VITS / MINERALS ) 1 TAB PO QD THIAMINE HCL 100 MG PO QD DIET : No Restrictions Activity - As tolerated FOLLOW UP APPOINTMENT ( S ) : Dr. Ee , patient to arrange , No Known Allergies ADMIT DIAGNOSIS : TCA overdose PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) TCA overdose OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay depression ( depression ) OPERATIONS AND PROCEDURES : OTHER TREATMENTS / PROCEDURES ( NOT IN O.R. ) None BRIEF RESUME OF HOSPITAL COURSE : 32 y / o woman with h / o anxiety and depression and prior suicide attempt presents with TCA and celexa overdose , tremulous / light-headed , felt better post charcoal . No EKG changes , marijuana in urine , HCO3 22 . Transferred to floor on day of admission with no acute medical issues ; awaiting psych eval . Not actively suicidal . 3/7 -- repeat HCO3 24 and 26 without bicarb drip . EKG without changes . Patient felt well , tolerating POs . BEST team eval found bed at psych rehab facility . OF NOTE , Nortriptyline level came back as 43 ( SUBTHERAPEUTIC -- NORMAL 50-150 ) . ADDITIONAL COMMENTS : DISCHARGE CONDITION : Stable TO DO / PLAN : No dictated summary ENTERED BY : KOTEKEESECRANKBERF , LA A. , M.D. ( JG92 ) 03/07/02 10:56 AM ****** END OF DISCHARGE ORDERS ******