Critical Care Experience Report ( Micu )

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Critical Care Experience Report (MICU) Patient is a 58 year old female admitted and brought in by ambulance on February 16, 2017 due to PEA (pulseless electrical activity) arrest at home. This patient has a history of hypertension, diabetes type 2, chronic obstructive pulmonary disease (COPD) and found to have a mild pulmonary hypertension with possible interstitial lung disease, mixed connective tissue disease, peripheral neuropathy and bipolar disorder. According to patient’s spouse, the night before the incident, the patient was acting like her usual self and went to sleep around 2330 with her oxygen in place. She was found unresponsive and had foaming at the mouth and was gasping for air. Her code status did not require resuscitation…show more content…
Additionally, her medications included chlorhexidine liquid for mouth care, Colace for bowel care, famotidine for prevention of gastric acid, folic acid, thiamine and multiple vitamins due to patient being on enteral feeding and nothing by mouth, gabapentin for peripheral neuropathy, heparin for prevention of thrombus formation, hydralazine for management of hypertension, Furosemide/Lasix for diuresis to remove extra fluid from tissues and bloodstream thereby reducing swelling and promote breathing for management of pulmonary hypertension. Moreover, her medications also included regular insulin for blood glucose management, albuterol for respiratory management, melatonin for promotion of rest and sleep, methylprednisolone sodium for interstitial lung disease management, quetiapine/Seroquel for agitation’s role in tachypnea and Clindamycin/Cleocin as prophylactic for infection prevention. She also completed a course of Cefepime antibiotic from 2/17-2/21 and Vancomycin from 2/17-2/19. Furthermore, the patient also had an electroencephalogram in 2/21 and her result showed consistency with her clinical diagnosis of a moderate-severe encephalopathy. Chest x-ray on 2/21 showed increasing mild pulmonary edema but with continued diuresis with Lasix 20 mg every 6 hours with a target of -2L over a 24 hour period, her chest x-ray on 2/22 showed improving atelectasis changes on left retro-cardiac area and resolution of previous pulmonary

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