Follow up for Pneumonia, unspecified organism. Monitor for Levofloxacin.
75-year-old male. The patient was seen at bedside today for Pneumonia, unspecified organism. The patient's tracheostomy in situ is currently mechanically ventilated, secondary to acute on chronic respiratory failure. The patient is presently not sedated. Past medical history Metabolic encephalopathy, Acute respiratory failure with hypoxia, Sepsis, Hypothyroidism, Malignant neoplasm of unspecified part of unspecified bronchus or lung, DM, Seizures, Cerebral edema, HTN, Anemia, GERD, PNA, malignant neoplasm of brain. Patient AAOX1 does not follow commands. The patient is synchronous with the ventilator and is hemodynamically stable. I didn't see any acute distress. In addition to addressing the main reason for this visit, I have reviewed all the patient's diagnoses.
No known allergies
levofloxacin oral tablet; 750 mg; amt: 750; oral Begin; 03/09/2025 - 03/15/2025
End: 03/15/2025
J18.9 Pneumonia, unspecified organism
levofloxacin oral tablet; 750 mg; amt: 750; oral Begin; 03/09/2025 - 03/15/2025
End: 03/15/2025
It is crucial to complete the full course of prescribed antibiotics, even if symptoms improve early, to fully eliminate the infection. The patient should receive proper ventilator care, including regular suctioning and humidification, to prevent complications such as ventilator-associated pneumonia. Maintaining good oral hygiene and following infection control measures are essential in reducing bacterial buildup. Adequate hydration and nutrition support immune function, while repositioning the patient regularly can help improve lung expansion. Avoiding exposure to respiratory irritants is important, and deep breathing exercises or chest physiotherapy may be beneficial if recommended by the healthcare team. The patient Should be closely monitored for worsening symptoms, such as increased respiratory distress, fever, changes in sputum color, or confusion.