We evaluated the patient today for a follow-up infectious diseases consult. The patient remains stable in a skilled nursing facility. The Peg Tube and tracheostomy are in place without a problem. The patient continued with the antibiotic Ertapenem until 3/23/2025. Aspiration precaution reinforce. Education was provided about proper suctioning techniques to clear secretions and maintain a patent airway. The patient tolerated the Ertapenem antibiotic without difficulty.
Gaehring, Federico G is a 64 y/o male patient admitted on 02/28/25 with PMH of Acute respiratory failure, unspecified whether with hypoxia or hypercapnia, Pneumonia, unspecified organism, Tracheostomy status Procedure on 9/20/24, Hemiplegia and hemiparesis following other nontraumatic intracranial hemorrhage affecting left non-dominant side, Metabolic encephalopathy, Encounter for surgical aftercare following surgery on the nervous system, Gastrostomy status, Procedure on 9/20/24, Other epilepsy, not intractable, with status epilepticus, Unspecified diastolic (congestive) heart failure, Essential (primary) hypertension, Hyperlipidemia, unspecified, Acute kidney failure with tubular necrosis, Pleural effusion, not elsewhere classified, Chronic embolism and thrombosis of unspecified popliteal vein, Gastro-esophageal reflux disease without esophagitis, Presence of other vascular implants and grafts, Dysphagia, oropharyngeal phase, Aphasia, Aphasia following cerebral infarction, Dysphagia following cerebral infarction. I have reviewed all the patients' diagnoses and treatments. The patient was evaluated due to the patient's medical needs and to avoid future complications and hospitalizations. Patient is currently on oxygen at 4LPM via Trach .Patient was evaluated today lying in hospital bed . Today to the physical examination Rhonchi in left and right lung , muscle weakness and deterioration of general condition. The O2 sat was over 96% at 4LPM . Wi will continue monitoring the patient respiratory status. Information obtained from Patient, Primary nurse, and chart. Patient chart reviewed with nurse . Education is given on the importance of complying with the treatment established.
Careful airway management, infection control, and respiratory support. Ensure proper tracheostomy care by regularly suctioning secretions, maintaining humidification to prevent mucus plugging, and monitoring for signs of respiratory distress or worsening infection. Education was given about the importance of oral care to prevent infection.