PROGRESS NOTE CHIEF COMPLIANT Follow up on glucose readings.

HISTORY OF PRESENT ILLNESS Resident was admitted to ***** on **/**/****, from the ***** where she was admitted on October 23rd for evaluation of seizures. She was stabilized, placed on Keppra and Decadron, and brought to ***** for ongoing medical management and rehabilitation therapies. PAST MEDICAL HISTORY Significant for non-small cell lung cancer with brain metastasis diagnosed in July 2008, chronic CAPD, seizures secondary to brain metastasis, and glaucoma. Also has a past medical history of hyponatremia. REVIEW OF SYSTEMS Resident states she is doing pretty well. Denies dyspnea, cough, congestion. Denies chest pain. Denies nausea, vomiting, constipation, diarrhea. Denies dysuria. OBJECTIVE DATA The patient's pulse is 69, respirations 19, temperature is 98.3. This is a 68-year-old Caucasian male wearing oxygen, in no acute distress at this time. Oropharynx with moist pink mucous membranes. Neck is supple. No JVD. Lungs are clear to auscultation in all fields. Diminished in the bases bilaterally. Respirations are even and unlabored. Heart with regular rate and rhythm. Abdomen is soft, nontender. Bowel sounds are present in all 4 quadrants. Extremities with no calf tenderness, no peripheral edema. The patent is alert and oriented x3. No evidence of anxiety, agitation, or depression. ASSESSMENT AND PLAN 1. Hyperglycemia secondary to steroids. Her blood sugar this morning was 114. Her Decadron is currently tapered and that has probably assisted in bringing her blood sugars down. 2. Pain management. Resident denies pain of any kind at this time. 3. Chronic obstructive pulmonary disease. We will continue her oxygen at 2 to 2.5 liters per minute and continue nicotine patch for cigarette cravings.