Age: 82.0
Sex: F
Vaccine: COVID19
Symptoms: Blood potassium normal, Blood sodium decreased, Blood urea normal, COVID-19, Carbon dioxide increased
Clinical narrative: 83 y.o.    Admit Date:  8/2/2022   Discharge Date: 8/5/22   Principal Dx/ Final Dx: COVID-19   Relevant Inpt Dx: Principal Problem:   COVID-19 Active Problems:   Essential hypertension   Hypothyroidism   Closed wedge compression fracture of T11 vertebra       HPI:   Hospital Course:   This elderly woman was admitted doing poorly after kyphoplasty.  She did test positive for covid.  She was seen by therapy and is improving.  It is felt that she needs inpatient rehab and this has been arranged.     She did not require treatment for covid     Component Ref Range & Units 01:05  WBC 4.5 - 11.0 10*3/uL 4.5  RBC 4.00 - 5.20 10*6/uL 3.78 Low   HGB 12.0 - 16.0 g/dL 10.8 Low   HCT 33.0 - 51.0 % 32.5 Low   MCV 80.0 - 100.0 fL 86.1  MCHC 32.0 - 36.0 g/dL 33.2  MCH 26.0 - 34.0 pg 28.6  RDW 10.7 - 18.7 % 13.7  MPV 6.5 - 10.0 fL 8.3  Platelet Cnt 150 - 450 10*3/uL 115 Low        Component Ref Range & Units 01:05  SODIUM 135 - 145 mmol/L 133 Low   POTASSIUM 3.6 - 5.0 mmol/L 3.7  CHLORIDE 101 - 111 mmol/L 92 Low   CO2 21 - 31 mmol/L 32 High   ANION GAP   9  GLUCOSE 70 - 110 mg/dL 93  CREATININE 0.4 - 1.0 mg/dL 0.8  BUN 2 - 32 mg/dL 20  CALCIUM 8.5 - 10.5 mg/dL 8.2 Low   PROTEIN TOTAL 6.1 - 7.8 g/dL 4.8 Low   Albumin 3.2 - 5.0 g/dL 3.3  T BILIRUBIN 0.2 - 1.0 mg/dL 0.4  ALP 42 - 121 [iU]/L 50  AST 10 - 42 [iU]/L 22  ALT (SGPT) 10 - 60 [iU]/L 6 Low            @HOSPDCED@   Consults:   IP CONSULT TO SOCIAL WORK IP CONSULT TO SOCIAL WORK       Disposition:  rehab   Discharge Condition:  fair   Discharge Medications:   Current Discharge Medication List   CONTINUE these medications which have NOT CHANGED   Details HYDROcodone-acetaminophen (NORCO) 5-325 mg per tablet Take 1 Tablet by mouth Every 8 hours as needed for Pain. Qty: 60 Tablet, Refills: 0   Associated Diagnoses: Compression fracture of T12 vertebra with routine healing, subsequent encounter   Calcium-Cholecalciferol, D3, (CALCIUM 600 + D) 600 mg(1,500mg) -400 unit Tab Take 1 Tablet by mouth Twice a day. Qty: 60 Tablet, Refills: 11   Hydrochlorothiazide (MICROZIDE) 12.5 mg capsule Take 12.5 mg by mouth Daily. Indications: visible water retention   cholecalciferol, vitamin D3, (VITAMIN D3) 400 unit Tab tablet Take 400 Units by mouth Daily. Indications: low vitamin D levels   lisinopriL (PRINIVIL) 10 mg tablet Take 1 Tab by mouth Daily. (increased dose) Qty: 30 Tab, Refills: 3   Associated Diagnoses: Essential hypertension   levothyroxine (SYNTHROID) 50 mcg tablet Take 50 mcg by mouth Daily. Indications: a condition with low thyroid hormone levels   cyanocobalamin, vitamin B-12, 2,000 mcg Tab Take 2,500 mcg by mouth Daily. Indications: supplement   folic acid/multivit-min/lutein (CENTRUM SILVER PO) Take  by mouth.     STOP taking these medications     menthol/zinc oxide (CALMOSEPTINE EX) Comments:  Reason for Stopping:        ofloxacin (OCUFLOX) 0.3 % ophthalmic solution Comments:  Reason for Stopping:        nystatin (NYSTOP) powder Comments:  Reason for Stopping:        diphenoxylate-atropine (LOMOTIL) 2.5-0.025 mg per tablet Comments:  Reason for Stopping:        promethazine (PHENERGAN) 25 mg tablet Comments:  Reason for Stopping:        mupirocin (BACTROBAN) 2 % topical ointment Comments:  Reason for Stopping:        loratadine (CLARITIN) 10 mg tablet Comments:  Reason for Stopping: