N39.0
99309
Follow-up for Urinary tract infection, site not specified in the context of a patient with chronic illness and poor overall outcomes. Monitor Levofloxacin. The patient reported palpitation.
65 y/o male was seen at the bedside with a medical history of Respiratory Disorder, Chronic obstructive pulmonary disease, unspecified Dementia, Essential (primary) hypertension, and Human immunodeficiency virus [HIV] disease was seen for a follow-up for Urinary tract infection; the site not specified. The patient denies SOB, chest pain, painful urination, and frequency. The patient was seen and evaluated today and was in no acute distress. The patient is awake, alert, and in stable condition. The patient reported palpitation. The patient was seen at the bedside to provide medically necessary care due to extensive comorbidities requiring a complex interdisciplinary approach. The patient's lung is clear on auscultation. He and art S1 and S2 are present—last BM 03/15/25. The abdomen soft and bowel sound present in all four quadrants. The patient uses a cane for ambulation; the patient is blind and has a bilateral hearing problem.
No known allergies
Levofloxacin tablet; 500 mg; amt: 500 mg; oral Begin; 03/12/2025 -03/19/2025 End: 03/19/2025
N39.0 Urinary tract infection, site not specified
Levofloxacin tablet; 500 mg; amt: 500 mg; oral Begin; 03/12/2025 -03/19/2025 End: 03/19/2025 EKG was ordered. Cardiology consult was ordered.
It is essential to complete the full course of prescribed antibiotics, even if symptoms improve early, to fully clear the infection and prevent resistance. Staying well-hydrated by drinking plenty of water helps flush bacteria from the urinary tract. The patient should avoid alcohol, caffeine, and acidic foods that may irritate the bladder. Proper hygiene, including urinating after sexual activity, can help prevent reinfection. Monitoring for symptoms such as fever, worsening pain, blood in the urine, or difficulty urinating is important, and medical attention Should be sought if these occur.
99309
YES
24
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