02-28-1944
C34.11
B96.20
99308
The patient came from the Hospital. Positive for Escherichia Coli on sputum from Bronchial wash. Monitor for Ceftriaxone IV.
An 81-year-old female who came on 03/17/25 was admitted from the Hospital. The patient's lung was clear on auscultation. The patient was evaluated today, lying in a hospital bed. Muscle weakness and general condition deterioration were noted During the physical examination. We will continue monitoring the patient's respiratory status. The patient has an intact PICC line, and the midline dressing on her right arm was intact. Mechanical ventilation was noted. I didn't see any respiratory distress. S1 and S2 present. The tracheostomy dressing and PEG tube were intact. Information was obtained from the Patient, Primary nurse, and chart. The patient's chart was reviewed with the nurse. The patient's RN was educated on the importance of complying with the treatment established.
Atorvastatin, bacitracin, doxycycline hyclate
DC. Ceftriaxone recon soln; 1 gram; amt: 1 gram; intravenous Special Instructions: DX: Pneumonia Begin: 03/18/2025 - 03/20/2025. End: 03/20/2025 Completed
C34.11 Malignant neoplasm of upper lobe, right bronchus or lung & B96.20 Unspecified Escherichia coli [E. coli]
DC. Ceftriaxone recon soln; 1 gram; amt: 1 gram; intravenous Special Instructions: DX: Pneumonia Begin: 03/18/2025 - 03/20/2025. End: 03/20/2025 Completed
Concurrently, the E. coli infection must be identified at its source and treated with appropriate antibiotics based on culture sensitivity. Supportive care, including pain management, pulmonary rehabilitation, and nutritional support, is essential. Close monitoring for infection resolution and oral care is recommended to prevent pneumonia.
99308
YES
18
1
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