Age: 80.0
Sex: M
Vaccine: COVID19
Symptoms: Cough, Decreased appetite, Oropharyngeal pain, Respiratory symptom, SARS-CoV-2 test positive
Clinical narrative: Office Visit 3/27/2021   PA-C Family Medicine COVID-19 Dx Cough  ? Sore Throat ? Poor Appetite Reason for Visit Progress Notes PA-C (Physician Assistant) ? ? Family Medicine ? ? Encounter Date: 3/27/2021 ? ? Signed Cosigned by: MD at 3/28/2021  9:14 AM Expand AllCollapse All    MDM Nontoxic-appearing 80-year-old male presents with URI symptoms.  Rapid Covid testing house was positive.  Patient has had his first dose of Pfizer SARS-CoV-2 vaccine and is due for his second and final one in 7 days.  Patient was advised to follow-up with PCP today to discuss monoclonal antibody infusion.  Strict supportive care and isolation instructions reviewed in detail.  ED precautions reviewed with patient.  1. COVID-19      Patient was seen today for cough, sore throat and poor appetite.   Diagnoses and all orders for this visit:   COVID-19 -     POCT COVID-19 Antigen    Clinical Support 3/30/2021 RN COVID-19 virus infection Dx Encounter Notes All notes  Progress Notes from RN 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 your follow-up appointments are scheduled and that you have all the necessary tools to track your health.   COVID-19 Navigator Contact Information:   MAB Infusion Follow-up Plan:   Day of Infusion: o You will be discharged from the Infusion Center to home. o You will begin recording your temperature and oxygen levels (pulse ox). You will receive prompts from the monitoring program you selected. Follow the prompts for when to record your temperature and pulse ox.   Day 2-3 after Infusion: o You will receive a follow-up call from the COVID-19 Navigator to schedule your 7-day follow-up video visit with your Primary Care Physician.   Day 8-14 after Infusion: o You will receive a follow-up phone call to assess your overall health.   Day 15 after Infusion: o You will receive your final call from the Navigator, and you will graduate from the Infusion Program. You will resume your routine appointments with your Primary Care Physician.   When to call your Primary Care Physician: 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.    When to call the COVID-19 Navigator:   o Please call the COVID-19 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: high fever, trouble breathing, persistent pain or pressure in the chest, new confusion, inability to wake or stay awake, blueish lips or face.How to Improve Your Breathing with COVID-19               Try to spend as little time as possible flat on your back! The largest part of your lungs are in the back of your body. 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 or sitting up will allow all the different parts of your lung to expand properly. You may notice it is easier to breathe immediately or soon after changing positions.                One of the best positions for this is called 'prone position' which is laying face down on your belly. This position makes it easiest for the biggest parts of your lungs to expand easily. This is called 'proning' and the more time spent proning the happier your lungs will be. Laying on your sides or sitting up in a chair is also helpful for breathing and changing positions helps keep your skin healthy.   Tips to Help with Repositioning ? Try placing pillows under the chest, hips, and lower legs when lying face down ? Trying different arm and leg positions can assist with comfort  ? Eat your meals sitting up in a chair when possible ? When laying on your side, a pillow behind you will help you not to roll on your back if you fall asleep ? If a position is too uncomfortable move on to another; comfort and rest are important parts of recovery ? Switch positions in a rotation to help all the areas of your lungs expand        After Visit Summary (Printed 3/30/2021) Additional Documentation  Vitals: BP 158/83Important   (BP Location: Right arm, Patient Position: Sitting) Pulse 58Important   Temp 36.9 °C (98.5 °F) SpO2 95%  More Vitals