J18.9
99309
Follow-up for Pneumonia, unspecified organism in the context of a patient with chronic illness and poor overall outcomes.
73 y/o male patient with PMH of Acute respiratory failure with hypoxia, Tracheostomy status, Chronic obstructive pulmonary disease, unspecified, Nicotine dependence, cigarettes, uncomplicated, Pneumonia, unspecified organism, Malignant neoplasm of larynx, unspecified, Anemia, Major depressive disorder, single episode, Unspecified atrial fibrillation, Morbid (severe) obesity due to excess calories, Heart failure, unspecified. In addition to addressing the main reason for this visit, I reviewed all the patients' diagnoses and treatments. This comprehensive review aims to prevent future patient health complications and avoid potential medication interactions. The patient was evaluated due to the patient's medical needs and to avoid future complications and hospitalizations.
Levofloxacin, phenytoin, banana
Zithromax (azithromycin) oral tablet; 500 mg; amt: 500 mg; gastric tube. Begin: 03/14/2025 - 03/21/2025 End; 03/21/2025
J18.9 Pneumonia, unspecified organism
Zithromax (azithromycin) oral tablet; 500 mg; amt: 500 mg; gastric tube. Begin: 03/14/2025 - 03/21/2025 End; 03/21/2025
Crucial to follow the prescribed antibiotic treatment fully, even if symptoms improve before completion. Rest and hydration are essential to aid recovery, along with maintaining good nutrition to support the immune system. The patient should monitor for symptoms such as persistent fever, worsening shortness of breath, chest pain, or confusion. Education was given about the importance of oral care.
99309
YES
24
1
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