Age: 74.0
Sex: F
Vaccine: COVID19
Symptoms: Atrial fibrillation, COVID-19, Essential hypertension, Gait disturbance
Clinical narrative: Principal Dx/ Final Dx: COVID-19 virus infection   Relevant Inpt Dx: Principal Problem:   COVID-19 virus infection Active Problems:   Essential hypertension   Persistent atrial fibrillation   PD (Parkinson's disease)       HPI:   Hospital Course:   This 76 year old man was admitted with covid.  He was treated with remdesivir.  He did not require steroids.  Today his lungs show no wheezing.  He will return to snf.  He does have parkinson's and did continue his sinemet and comtan.  He does have a fib and had past watchman.  Follow up with pcp.           @HOSPDCED@   Consults:   IP CONSULT TO SOCIAL WORK     Disposition:  Nursing facility   Discharge Condition:  fair   Discharge Medications:   Current Discharge Medication List   START taking these medications   Details tamsulosin (FLOMAX) 0.4 mg capsule Take 1 Capsule by mouth Once Daily. Refills: 0   Associated Diagnoses: Difficulty walking     CONTINUE these medications which have CHANGED   Details docusate sodium (COLACE) 100 mg capsule Take 1 Capsule by mouth Once Daily. Qty: 3 Capsule, Refills: 0   Associated Diagnoses: Constipation, unspecified constipation type   polyethylene glycol 3350 (MIRALAX) 17 gram packet Take 17 g by mouth Once Daily. Qty: 3 Packet, Refills: 0   Associated Diagnoses: Constipation, unspecified constipation type     CONTINUE these medications which have NOT CHANGED   Details ipratropium-albuteroL (DUO-NEB) 0.5 mg-3 mg(2.5 mg base)/3 mL nebulizer solution Take 3 mL by nebulization Every 4 hours. Qty: 90 mL, Refills: 0   Associated Diagnoses: Aspiration pneumonia of both lungs   lactulose (CHRONULAC) 20 gram/30 mL solution Take 30 mL by mouth Four times a day. Qty: 1000 mL, Refills: 0   Associated Diagnoses: Constipation, unspecified constipation type   carbidopa-levodopa (SINEMET) 25-100 mg per tablet Take 1 Tablet by mouth Four times a day.   cyanocobalamin 1,000 mcg tablet Take 1 Tablet by mouth Once Daily. Qty: 0 Tablet, Refills: 0   Associated Diagnoses: Vitamin B12 deficiency   amLODIPine (NORVASC) 5 mg tablet Take 1 Tablet by mouth Once Daily. Qty: 0 Tablet, Refills: 0   Associated Diagnoses: Essential hypertension   entacapone (COMTAN) 200 mg Take 200 mg by mouth Four times a day.   Melatonin 5 mg Tab Take 1 Tablet by mouth At bedtime as needed for Sleep.   aspirin 81 mg chewable tablet Take 1 Tab by mouth Daily. Indications: Structural Heart Disease Qty: 90 Tab, Refills: 3   Associated Diagnoses: Persistent atrial fibrillation   memantine (NAMENDA) 5 mg Take 5 mg by mouth At bedtime.   donepeziL 23 mg Tab Take 1 Tablet by mouth At bedtime.   Propafenone (RYTHMOL) 225 mg Tab tablet Take 1 Tab by mouth Three times a day. Qty: 90 Tab, Refills: 11   omeprazole (PRILOSEC) 20 mg DR capsule Take 20 mg by mouth Daily.   oxybutynin (DITROPAN) 5 mg tablet Take 10 mg by mouth Twice a day.   fluticasone (FLONASE) 50 mcg/Actuation nasal spray Spray 2 Sprays in nose Once Daily. (in each nostril)     STOP taking these medications     cefdinir (OMNICEF) 300 mg capsule Comments:  Reason for Stopping:        sennosides-docusate sodium (SENOKOT-S) 8.6-50 mg Comments:  Reason for Stopping:        doxycycline monohydrate (MONODOX) 100 mg capsule Comments:  Reason for Stopping:        furosemide (LASIX) 20 mg tablet Comments:  Reason for Stopping: