Age: 51.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary tract infection
Clinical narrative: Admit Date:  7/22/2022 Discharge Date:   7/25/2022   Discharge Diagnosis:  Principal Problem:   Hypertensive urgency Active Problems:   Morbid obesity   COVID-19 virus infection   UTI (urinary tract infection)     Hospital Course:  52 year old female was admitted for severely elevated BP. She was initially on Cardene drip and regular medications were restarted and dose adjusted. She also tested (+) for Covid-19 infection. She had received the vaccine and did not require treatment with Remdesivir. Also treated for UTI. Urine culture grew E coli and Proteus. She will be discharged home today in stable condition on oral antibiotic. Patient educated on appropriate level of care post-discharge. Follow up with Primary Care Doctor in 5-7 days.   Physical Exam on the day of discharge: Last Recorded Vital Signs: Temp: 97.5 °F (36.4 °C) Heart Rate (Monitor): 58 Pulse: 65 BP: 141/85 Respirations: 16 SpO2: 96 % O2 Flow Rate (l/min): 0 l/min General Appearance: no distress  Eyes: PERRLA ENT: moist mucus membranes, no adenopathy Lungs: clear to auscultation bilaterally  Heart: regular rate and rhythm, Abdomen: soft, non-tender  Skin: No rashes or lesions  Extremities: full ROM Neuro: alert, normal strength and tone    Consults:  IP CONSULT TO SOCIAL WORK   Significant Diagnostic Studies:   CT head, CXR   Operations: none   Disposition:  Home    Discharge Condition:  Fair    Discharge Medications:   Current Discharge Medication List   START taking these medications   Details levoFLOXacin (LEVAQUIN) 500 mg tablet Take 1 Tablet by mouth Once Daily for 3 days. Indications: cellulitis, inflammation of the bladder Qty: 3 Tablet, Refills: 0   Associated Diagnoses: Acute cystitis with hematuria     CONTINUE these medications which have CHANGED   Details hydrALAZINE (APRESOLINE) 50 mg tablet Take 1 Tablet by mouth Three times a day for 30 days. Qty: 90 Tablet, Refills: 0   Associated Diagnoses: Essential hypertension     CONTINUE these medications which have NOT CHANGED   Details cyanocobalamin 1,000 mcg tablet Take 1 Tab by mouth Daily. Qty: 90 Tab, Refills: 3   Associated Diagnoses: B12 deficiency   metoprolol (LOPRESSOR) 50 mg tablet Take 1 Tablet by mouth Twice a day. Qty: 60 Tablet, Refills: 5   Associated Diagnoses: Essential hypertension   amLODIPine (NORVASC) 10 mg tablet Take 1 Tab by mouth Daily. Qty: 30 Tab, Refills: 5   Associated Diagnoses: Essential hypertension   lisinopriL-hydrochlorothiazide (ZESTORETIC) 20-25 mg per tablet Take 1 Tab by mouth Daily. Qty: 30 Tab, Refills: 5   Associated Diagnoses: Essential hypertension   DULoxetine (CYMBALTA) 30 mg DR capsule Take 1 Cap by mouth Daily. Qty: 30 Cap, Refills: 3   Associated Diagnoses: Cervical radiculopathy; Anxiety with depression   aspirin 81 mg chewable tablet Take 81 mg by mouth Daily.   Budesonide-Formoterol (SYMBICORT) 160-4.5 mcg/Actuation inhaler Take 2 Puffs by inhalation Twice a day. Qty: 1 Inhaler, Refills: 2   Associated Diagnoses: Moderate persistent asthma without complication   albuterol (VENTOLIN HFA) 90 mcg/Actuation inhaler Take 1 Puff by inhalation Every 6 hours as needed (WHEEZING). Qty: 1 Inhaler, Refills: 3   Associated Diagnoses: Moderate persistent asthma without complication   montelukast (SINGULAIR) 10 mg tablet Take 1 Tab by mouth Daily. Qty: 30 Tab, Refills: 3   Associated Diagnoses: Moderate persistent asthma without complication   Blood Pressure Monitor (BLOOD PRESSURE KIT) Kit 1 Units Daily. Qty: 1 Kit, Refills: 0   Associated Diagnoses: Essential hypertension     STOP taking these medications     furosemide (LASIX) 20 mg tablet Comments:  Reason for Stopping:        potassium chloride (KLOR-CON) 10 mEq tab Comments:  Reason for Stopping:        naproxen sodium (ALEVE) 220 mg Cap Comments:  Reason for Stopping: