Age: 62.0
Sex: F
Vaccine: COVID19
Symptoms: Seasonal allergy, Skin lesion, Small airways disease, Vitamin D deficiency, Wheezing
Clinical narrative: ED to Hosp-Admission Discharged   9/2/2022 - 9/4/2022 (2 days) HOSPITAL   MD  Last attending ? Treatment team Acute respiratory failure due to COVID-19  Principal problem   Discharge Summary MD (Physician) ? ? Hospitalist  Physician Discharge Summary   Patient ID:  63 y.o.    Admit Date:  9/2/2022   Discharge Date: 9/4/22   Principal Dx/ Final Dx: Acute respiratory failure due to COVID-19   Relevant Inpt Dx: Principal Problem:   Acute respiratory failure due to COVID-19 Active Problems:   Chronic diastolic heart failure   COPD with acute exacerbation   Hyperlipidemia   Essential hypertension   Gastroesophageal reflux disease       HPI:   Hospital Course:   This 63 year old woman was admitted with sob.  She had acute hypoxic respiratory failure due to covid.  She was treated with remdesivir and steroids.  She has improved.  Today her lungs are clear and she is not hypoxic on room air at rest.  She will complete steroids orally.  She has a history of copd and this is improved. Follow up pcp            Consults:   IP CONSULT TO SOCIAL WORK     Disposition:  home   Discharge Condition:  fair   Discharge Medications:    Current Discharge Medication List   START taking these medications   Details dexAMETHasone (DECADRON) 2 mg tablet Take 3 Tabs by mouth Once Daily for 5 days. Qty: 15 Tablet, Refills: 0   Associated Diagnoses: Acute respiratory failure due to COVID-19     CONTINUE these medications which have NOT CHANGED   Details atorvastatin (LIPITOR) 10 mg tablet Take 1 Tablet by mouth At bedtime. Qty: 30 Tablet, Refills: 2   Associated Diagnoses: Dyslipidemia   cholecalciferol (VITAMIN D3) 50,000 unit CAPSULE Take 1 Capsule by mouth Every week. Qty: 4 Capsule, Refills: 1   Associated Diagnoses: Vitamin D deficiency   FLUoxetine (PROZAC) 40 mg capsule Take 2 Caps by mouth Once Daily. Qty: 60 Capsule, Refills: 2   Associated Diagnoses: Moderate episode of recurrent major depressive disorder   furosemide (LASIX) 40 mg tablet Take 1 Tablet by mouth Once Daily. Take extra tablet only when instructed Qty: 125 Tablet, Refills: 2   Associated Diagnoses: Chronic diastolic heart failure; Essential hypertension   hydrOXYzine pamoate (VISTARIL) 50 mg capsule Take 1 Capsule by mouth Twice a day as needed for Anxiety. Qty: 75 Capsule, Refills: 2   Associated Diagnoses: GAD (generalized anxiety disorder)   linaCLOtide (LINZESS) 290 mcg capsule Take 1 Capsule by mouth Once Daily. Qty: 30 Capsule, Refills: 2   Associated Diagnoses: Constipation, unspecified constipation type   loratadine (CLARITIN) 10 mg tablet Take 1 Tablet by mouth Once Daily. Qty: 30 Tablet, Refills: 2   Associated Diagnoses: Environmental and seasonal allergies   LORazepam (ATIVAN) 0.5 mg tablet Take 1 Tablet by mouth Twice a day as needed for Anxiety. Can fill on or after 8/24/22 Qty: 45 Tablet, Refills: 0   Associated Diagnoses: GAD (generalized anxiety disorder); Anxiety   methocarbamoL (ROBAXIN) 750 mg tablet Take 1 Tablet by mouth Three times a day. Qty: 90 Tablet, Refills: 2   Associated Diagnoses: Muscle spasm   benzonatate (TESSALON PERLES) 100 mg capsule Take 1-2 Caps by mouth Three times a day. Qty: 60 Capsule, Refills: 0   Associated Diagnoses: Cough   montelukast (SINGULAIR) 10 mg tablet Take 1 Tablet by mouth Every evening. Qty: 30 Tablet, Refills: 2   Associated Diagnoses: Small airways disease   fluticasone propionate (FLONASE) 50 mcg/Actuation nasal spray Spray 2 Sprays in nose Once Daily. (in each nostril) Qty: 1 Each, Refills: 3   Associated Diagnoses: Allergic rhinitis, unspecified seasonality, unspecified trigger   chlorpheniramine-HYDROcodone (TUSSIONEX) 10-8 mg/5 mL Take 5 mL by mouth Twice a day as needed (cough). Qty: 70 mL, Refills: 0   Associated Diagnoses: Cough; COPD exacerbation   pantoprazole (PROTONIX) 40 mg DR tablet Take 1 Tablet by mouth Once Daily. Qty: 30 Tablet, Refills: 3   Associated Diagnoses: Gastroesophageal reflux disease, unspecified whether esophagitis present; Esophageal dysphagia; Chronic abdominal pain   dicyclomine (BENTYL) 10 mg capsule Take 1 Capsule by mouth Four times a day. Qty: 120 Capsule, Refills: 3   Associated Diagnoses: Chronic abdominal pain   tiotropium (SPIRIVA WITH HANDIHALER) 18 mcg inhalation cap Take 1 Capsule by inhalation Once Daily. Qty: 30 Capsule, Refills: 3   Associated Diagnoses: SOB (shortness of breath); Small airways disease; Moderate persistent asthma without complication   SYMBICORT 160-4.5 mcg/actuation inhaler Take 2 Puffs by inhalation Twice a day. Qty: 1 Each, Refills: 3   Associated Diagnoses: SOB (shortness of breath); Small airways disease; Moderate persistent asthma without complication   metoprolol (TOPROL XL) 25 mg XL tablet Take 1 Tablet by mouth Once Daily. Qty: 90 Tablet, Refills: 3   Associated Diagnoses: Chronic diastolic heart failure; Essential hypertension   potassium chloride (KLOR-CON) 10 mEq tab Take 1 Tablet by mouth Once Daily. Qty: 125 Tablet, Refills: 3   Associated Diagnoses: Chronic diastolic heart failure   dapagliflozin (FARXIGA) 10 mg tablet Take 1 Tablet by mouth Once Daily. Qty: 90 Tablet, Refills: 3   albuterol (VENTOLIN HFA) 90 mcg/Actuation inhaler Take 2 Puffs by inhalation Every 4 hours as needed (WHEEZING). Qty: 1 Each, Refills: 5   Associated Diagnoses: SOB (shortness of breath); Nocturnal dyspnea   Promethazine 12.5 mg tablet Take 1-2 Tabs by mouth Every 6 hours as needed for Nausea. Qty: 30 Tablet, Refills: 2   Associated Diagnoses: Nausea   mupirocin (BACTROBAN) 2 % topical ointment by Topical route Twice a day. Qty: 30 g, Refills: 0   Associated Diagnoses: Skin lesions   clotrimazole-betamethasone (LOTRISONE) cream 1 Dose by Topical route Twice a day. Qty: 15 g, Refills: 0   Associated Diagnoses: Rash   Nebulizer & Compressor For Neb Devi 1 Each As directed. Qty: 1 Device, Refills: 0   Associated Diagnoses: Chronic obstructive pulmonary disease, unspecified COPD type; Wheezing   nebulizer accessories Kit 1 Each As directed. Qty: 1 Each, Refills: 1   Associated Diagnoses: Chronic obstructive pulmonary disease, unspecified COPD type; Wheezing   nitroglycerin (NITROSTAT) 0.4 mg SL tablet Take 1 Tab sublingually Every 5 minutes as needed for Chest pain. X 3 DOSES Qty: 30 Tab, Refills: 1   Associated Diagnoses: Atypical chest pain     STOP taking these medications     predniSONE (DELTASONE) 20 mg tablet Comments:  Reason for Stopping:               Discharge Procedure Orders Follow up with your PCP,    Order Specific Question Answer Comments Follow up when? 1 week       >1/2 hr spent on discharge process   Signed: MD 9/4/2022 11:18 AM   Other Notes All notes   H&P from MD (Hospitalist)    Consults        Hospital Problem List   Chronic diastolic heart failure  Hyperlipidemia  Essential hypertension  Gastroesophageal reflux disease  COPD with acute exacerbation  Acute respiratory failure due to COVID-19   Care Timeline   09/02   Admitted from ED (Observation) 0849 09/04   Discharged 1313   Discharge   Home or Self Care     IP After Visit Summary (Printed 9/4/2022)    Follow-Ups  1 Follow up with  DO (Family Medicine) 2 Follow up with  DO (Family Medicine) 3     Medication List at Discharge   albuterol sulfate 90 mcg/Actuation 2 Puffs Inhalation EVERY 4 HOURS PRN  atorvastatin calcium 10 mg Oral AT BEDTIME  benzonatate 100-200 mg Oral THREE TIMES A DAY  budesonide/formoterol fumarate 160-4.5 mcg/actuation 2 Puffs Inhalation TWICE A DAY  cholecalciferol (vitamin D3) 50,000 Units Oral EVERY WEEK  clotrimazole/betamethasone dip 1-0.05 % 1 Dose Topical TWICE A DAY  dapagliflozin propanediol 10 mg Oral DAILY  dexamethasone 6 mg Oral DAILY  dicyclomine HCl 10 mg Oral FOUR TIMES A DAY  fluoxetine HCl 80 mg Oral DAILY  fluticasone propionate 50 mcg/Actuation 2 Sprays Nasal DAILY, (in each nostril)  furosemide 40 mg Oral DAILY, Take extra tablet only when instructed  hydrocodone/chlorphen p-stirex 10-8 mg/5 mL 5 mL Oral TWICE A DAY PRN  hydroxyzine pamoate 50 mg Oral TWICE A DAY PRN  linaclotide 290 mcg Oral DAILY  loratadine 10 mg Oral DAILY  lorazepam 0.5 mg Oral TWICE A DAY PRN, Can fill on or after 8/24/22  methocarbamol 750 mg Oral THREE TIMES A DAY  metoprolol succinate 25 mg Oral DAILY  montelukast sodium 10 mg Oral EVERY EVENING  mupirocin 2 % Topical TWICE A DAY  nebulizer accessories 1 Each Does not apply AS DIRECTED  nebulizer and compressor 1 Each Does not apply AS DIRECTED  nitroglycerin 0.4 mg Sublingual EVERY 5 MINUTES PRN, X 3 DOSES  pantoprazole sodium 40 mg Oral DAILY  potassium chloride 10 mEq 10 mEq Oral DAILY  promethazine HCl 12.5-25 mg Oral EVERY 6 HOURS PRN  tiotropium bromide 18 mcg Inhalation DAILY (RT)