Age: 66.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, SARS-CoV-2 test positive
Clinical narrative: COUGH  Internal Medicine COVID-19 virus infection  Dx Medication Infusion  Reason for Visit   Progress Notes (Registered Nurse) ? ? Internal Medicine ? ? Encounter Date: 8/20/2021 ? ? Signed    Patient is here for MAB Infusion O2 sats > or = 90%   Signs of potential reaction reviewed with patient.   Tolerated IV start and MAB infusion without complication.   Pt has access to pulse oximeter and thermometer for home monitoring   Discharge instructions reviewed. Patient denies any questions   Pt's PCP is Dr   Instructions  COVID 19 Monoclonal Antibody (MAB) Infusion Patient Reference Guide     MAB Infusion Treatment Team:   Primary Care Physician:  The physician that referred you for the infusion and who will conduct the follow-up appointments related to your infusion.   COVID-19 MAB Navigator:  The person who will schedule you for your infusion, ensure you schedule follow-up appointments as needed and that you have all the necessary tools to track your health.   COVID-19 MAB Navigator Contact Information   MAB Infusion Follow-up Plan:   No COVID-19 vaccine for 90 days from your infusion date. Date: 11/20/2020   Day of Infusion: o You will be discharged home after your infusion.  o You will begin recording your temperature and oxygen levels (pulse ox). Please log your temperatures and oxygen levels in your portal or on a piece of paper. The MAB Navigators will review these with you when they call.  o   Day 2-3 after Infusion: o You will receive a follow-up call from the COVID-19 MAB Navigator to review how you are feeling, your temperatures, oxygen levels and remind you to schedule your 7-day follow-up video visit with your Primary Care Physician.   Day 10-11 after Infusion: o You will receive your final call from the Navigator. If you are doing well, you will graduate from the MAB Infusion Program. You will resume your routine appointments with your Primary Care Physician.   When to call your Primary Care Physician: If you do not have a Primary Care Physician please go to the nearest Urgent Care: o Please call your Primary Care Physician if you have pre-existing health conditions that you feel need medical attention and are unrelated to your  COVID-19 diagnosis and symptoms.  o If you are experiencing non-life threatening COVID-19 symptoms and have additional questions. o Unrelieved temperature greater than 100.4 after taking Tylenol.     When to call the COVID-19 MAB Navigator:   o Please call the COVID-19 MAB Navigator if you have general questions regarding the infusion you received today, questions concerning follow up appointments, or home monitoring procedures & equipment.  o You should receive a follow-up phone call from the Navigator within 2-3 days of receiving your infusion.  o If you do not receive a follow-up phone call, please call the Navigator   When to call 911 or Proceed to the closest Emergency Department: If you are experiencing life threatening COVID-19 symptoms including but not limited to:  o high fever  o trouble breathing o sustained oxygen level less than 90% after trying a different finger, deep breathing and coughing o persistent pain or pressure in the chest o new confusion o inability to wake or stay awake o blueish lips or face   To help you breath easier: Try to spend as little time as possible on your back. When you lay on your back this causes fluid to pool in those parts of your lungs making it harder to breathe. Laying in different positions will allow all parts of your lung to expand properly.    Eat meals sitting up in a chair when possible. Consider eating small frequent meals rather than three large meals.   Try laying in a prone position, which is laying face down on your belly. Laying on your sides or sitting up in a chair is also helpful for breathing. If a position is too uncomfortable move to another position.            Outpatient After Visit Summary (Printed 8/20/2021)