Name 1 Ingalla, Jose 2 Losaria, Blas 3 Gaturian, Estrella

Attending Ares Ares/Canuel Villacin

Age Sex Date Adm Time Adm ex. 8/24 95 M 87 M 78 F 10/23/12 9:07PM 12/5/12 3:05PM 11/20/12 6:37PM

Date Dx

Outcome

Duration

Comorbids (1 or 0) HPN CVA DM PTB BA CAD/IHD 1 1 0 0 0 1

CKD COPD CA 0 1 1

Total 0 2 2 1

(1/0) MV 1 0 0

BP

(1/0) Compliance to Antibx 1

Antibiotic Started (Dose and Timing) Piperacillin-Tazobactam 4.5 g IVTT LD then 2.25 q8hrs Piperacillin-Tazobactam 4.5 g IVTT LD then 2.25 q8hrs Piperacillin-Tazobactam 4.5 g IVTT LD then 2.25 q8hrs

Time Started 11:25PM 12:10AM

Interval #VALUE! #VALUE! #VALUE!

(1/0) Compliance to Antibx

Antibiotic Started (Dose and Timing)

Time Started 11:25:00 AM 12:50AM

Interval #VALUE! #VALUE! #VALUE! haziness both LF

Initial CXR

CXR after 72hrs interval decreased in the haziness not done no significant interval change in the extent of left lower lung field opacification and bilateral infiltrates interval increase in the amount of pleural effusion in the right; increase in the extent of pneumonia bilaterally

Improved/Unimproved (1 or 0) 1 1 0

Culture and Sensitivity (Blood/Sputum) Done (1/0)

Result

11/2/12 Improved 12/12/12 Improved 11/29/12 Recovered

11 0 8 10

1

1

0 Azithromycin 500mg tab OD 0 Azithromycin 500mg tab OD 0 Azithromycin 500mg tab OD

4 Esquilla, Eduardo

Togle

69 M

11/4/12 1:29AM

11/8/12 Improved

5

1

1

1

3

1

1

Piperacillin-Tazobactam 4.5 g IVTT LD then 2.25 q8hrs

3:05AM

#VALUE!

0 Azithromycin 500mg tab OD

5:00AM

#VALUE!

Pleural effusion in the left lung field Pleural Effusion in the left; bilateral pulmonary congestion with intercurrent pneumonia hazy reticulonodular densities in both lungs with patchy opacities in the right hazy and linear densities in the left lower lung region haziness in both LF Prominence of the pulmonary vascular markings; congestion vs pneumonia haziness in the right to mid-lower lung region obliterating the right cardiac border, hemidiaphragm and costophrenic sulcus hazy reticulonodular densities with interspersed lucencies in both lungs pneumonia pleural effusion on the right hazy reticulonodular densities in both lungs haziness in the right middle to lower lung regions -pneumonia hazy densities in the right base-pneumonia hazy densities in the right base-pneumonia Pneumonia both Lower lobes with bilateral pulmonary congestion reticulonodular densities on both lungs with interspersed lucencies PTB + pneumonia bilateral pulmonary congestion; haziness in both lower lung fields prominence of pulmonary vasculature hazy reticulonodular densities in the rigth lung and left lower lobe, bronchiectasis, pneumonia clear lungs haziness in both lower lobes hazy densities in both lower lobes pneumonia in both lungs haziness in both lower lobes densities in the right lung apex loculated pneumothorax on the right, hazed in the left hazy, reticular right mid-lower lung field bilateral pulmonary edema with pneumonia haziness in the right mid to lower lung field opacified left hemithorax with lucensies in ULF, mediatinal deviation to the left pneumonia pnuemonia in right lung and left upper lung lobes hazy, streaky densities in lower lung field haziness both lungs

0 0 1 Enterobacter Cloacae Sensitive to Piper Tazo ESBL (-) AmpC (-)

0

1 no growth ETA

5 Jimenez, Jose 6 Yulo, Lorna 7 Uy, Lilia 8 Mercurio, Mamerto 9 Lobo, Carmenchita

JL/Locson Baraquia Ares/O/Villacin Magbanua Vargas

90 M 66 F 70 F 75 F 75 F

10/31/12 9:49AM 11/23/12 10:47AM 10/13/12 5:07PM 12/15/12 3:50PM 12/8/12 12:01PM

11/8/12 Improved 11/24/12 Died 11/30/12 Died 12/15/12 Died 12/12/12 Died

9 2 49 1 5

1 1 1

1

1 1

3 3 0 0

1 1 1 1 1

1 1 1

1 0 1 0 1

Piperacillin-Tazobactam 4.5 g IVTT LD then 2.25 q8hrs Ceftazidime 1g IVTT q8hrs Meropenem 1g IVTT then 500mh IV OD Cefuroxime 750mg IVTT q8hrs Piperacillin-Tazobactam 4.5 g IVTT LD then 2.25 q8hrs

11:18AM 5:00PM 9:50PM 4:00PM 4:15PM

#VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

0 Azithromycin 500mg tab OD 0 Levofloxacin 500mg 1 tab OD 0 Azithromycin 500mg tab OD 0 Azithromycin 0

6:00PM 4:00PM 10:00PM 4:00:00 PM

#VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

0 N/A

1 Pseudomonas aeruginosa; Sensitive to PiperTazo ampC(+) ESBL (-) 1 ETA: P aeruginsa, E. Gergoviae (S) to cefta

regression in bilateral haziness, partial regression of pneumonia

1 0 0

ETA: E. Gergoviae, Candida (S) to meropenemen

1

1

2

1

not done

1 blood: no growth 3 and 5 days

10 De Paula, Jose

Pepingco/Puey

50 M

12/10/12 6:57PM

12/12/12 Died

3

1

1

1

3

1

1

1

Meropenem 1g IVTT LD then 500mg Q8hrs

8:PM

#VALUE!

0

#VALUE!

0

1 no growth

11 Flores, Juanita 12 Deoacadez, Cynthia 13 Hinayan, Arlene 14 Villanueva, Cresencio 15 Divinagracia, Francis 16 Bertuso, Leticia 17 Tenefrancia, Florence

Tulmo 71 F Espinosa/Mallen 65 F Bion MDR Csalvador Ibanez/Austria Trajera 94 F 71 M 55 M 65 F 81 F

10/30/12 10:43PM 11/8/12 5:06PM 11/3/12 4:06PM 12/16/12 1:21AM 12/21/12 4:23PM 12/20/12 6:29PM 12/20/12 5:39PM

11/1/12 Died 11/12/12 Improved 11/12/12 Improved 12/21/12 Improved 12/29/12 improved 12/24/12 improved 12/24/12 improved

3 5 10 6 9 5 5

1

1

2 1 1 1 2 1 0

1 0 0 0

1 0 0 0 1 1

1 1 0 0 1 1 1

Ceftriaxone 1g IVTT Q8hrs Ceftazidime 1g IVTT q8hrs Azithromycin 500mg 1 tab OD Cefuroxime 750mg IVTT q8hrs Piperacillin-Tazobactam 4.5 g IVTT LD then 2.25 q8hrs Piperacillin-Tazobactam 4.5 g IVTT LD then 2.25 q8hrs Ampicillin-Sulbactam 1.5g IVTT then OD (CrCl)

11:50PM 7:40PM 8:00PM 3:20AM 1:10AM 5:45AM 1:00AM

#VALUE! #VALUE! #VALUE! #VALUE!

0 Azithromycin 500mg tab OD started 24hrs 1 Azithromycin 500mg IVTT OD 0 0 Azithromycin 500mg 1 tab OD 0 Azithromycin 500mg 1 tab OD

9:35PM

#VALUE! #VALUE! #VALUE!

0 0 further increase in the haziness in both lungs Interval increase in the amount og hazy densities ff up 0 0 0 0 Resolution of congestion; pneumonia on right base 0

0

1 1

1 no growth 1 no growth 1 sputum: no grwoth 1 sputum: no growth 0

8:00AM 8:00AM

#VALUE! #VALUE! #VALUE! #VALUE!

1 1

1 1

1 1

3 3

#VALUE! #VALUE!

0 0

18 Celestial, Florencia 19 Gaylan, Alberto 20 Ramos, Jesusa

Apdol

61 F

11/21/12 4:38PM 11/12/12 10:56AM 11/15/12 10:48AM

11/22/12 died 11/18/12 Improved 11/22/12 Improved

2 7 8 1 1

1

1

1 1 1

3 2 2

1 1 1

1

1 1 1

Meropenem 1g IVTT LD then q8hrs Meropenem 1g IVTT then q8hrs Piperacillin-Tazobactam 4.5 g IVTT LD then 2.25 q6hrs

5:20PM 11:40AM 8:35PM

#VALUE! #VALUE! #VALUE!

0 0 Azithromycin 500mg 1 tab OD 0 Levofloxacin 500mg 1 tab OD 4PM 11:30PM

#VALUE! #VALUE! #VALUE!

Cerrada/Locson 88 M Csalvador/Etomas 45 F

1

non bilateral pleural effusion; bilateral pleural effusion; pneumonia hazy densities in right lung base-pneumonia

0 0 0

1 ETA: no growth 1 ETA: E. Coli; Sensitive to Mero; Blood-negative 1 ETA: no growth

21 22 23 24 25

Lacson, Mary Togle, Juliet Diopenes, Emilio Tajanlangit, Hernan Villaruel, April

Apdol/Villacin Baraquia Nolido Togle Ares HC IM Ares Araneta Gebusion Yap Marytr Limsiaco Ares Austria Jco Trajera araneta

85 71 85 74 24

F F M M F

12/4/12 9/11/12 9/2/12 9/20/12 9/9/12

8:01PM 9:43M 6:18AM 4:04PM 12:08AM

12/8/12 9/23/12 9/6/12 9/21/12 9/22/12

Improved improved recovered died died

5 13 5 2 14 10 5 4 9 11 7 6 19 4 8 5 8

1 1 1 1 1 1 1 1 1 1 1 1 1

1

1 3 4 3 1 2 1 1 1 3 2 2 3

CPAP 1 1 1 1 1 1 1 1

1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1

Piperacillin-Tazobactam 4.5g IVTT LD then 2.25g q8hrs Piperacillin-Tazobactam 4.5g IVTT LD then 2.25g q6hrs Piperacillin-Tazobactam 4.5g IVTT LD then q8hrs Ertapenem 1g IVTT OD Cefipime 1 g IVTT q12hrs Piperacillin-Tazobactam 4.6g IVTT LD then 2.25g q8hrs Piperacillin-Tazobactam 4.5g IVTT LD then 2.25g q8hrs Ceftriaxone 1g IVTT Q12hrs Piperacillin-Tazobactam 4.5g IVTT LD then q8hrs Cefepime 1g IVTT Piperacillin-Tazobactam 4.5g IVTT LD then q8hrs Ampicillin-Sulbactam 1.5g IVTT then q8hrs Piperacillin-Tazobactam 4.5 g IV q6hrs Meropenem 500mg IVTT OD (CrCl) Piperacillin-Tazobactam 4.5g IVTT LD then 2.25g q8hrs Ertapenem 1g IVTT q12hrs Piperacillin-Tazobactam 4.5g IVTT LD then q8hrs

11PM 1:30AM 7:20AM 6:20PM

#VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

0 Azithromycin 500mg 1 tab OD 0 Azithromycin 500mg 1 tab OD 0 Azithromycin 500mg 1 tab ID 1 Azithromycin 500mg IVTT OD 0 0 Clindamycin 300mg 1 cap q6hrs 0 0 Ciprofloxacin 500mg 1 tab BID 0 Levofloxacin 500mg 1 tab OD 0 0 Azithromycin 500mg 1 tab OD 0 0 Azithromycin 500mg 1 tab OD 0 Azithomycin 500mg 1 tab OD 0 Levofloxacin 500mg 1 tab OD 0 Azithromycin 500mg 1 tab OD 0 Levofloxacin 500mg 1 tab OD

12PM 11:26PM 4:40AM 11PM

#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

not done pulmonary congestion progression of infiltrates

0 0 0 0 0 0 0 0 ff up 1 1 1 0 0 0 1 1 1

0 1 1 1 1

ETA: no growth Sputum: no growth Sputum: no growth blood: no growth 3 and 5 days

26 Mabugat, Julieta 27 Gamboa, Wilson 28 Tenedo, Rosauro 29 De la Rosa, Edmundo 30 Malata, Maria 31 Sedigo, Lilibeth 32 Magbanua, Vicente 33 Ormando, Rolando 34 Ortega, Elena 35 Villalon, Julio 36 Hautea, Rosalina 37 Rasco, Ernesto

79 F 70 M 64 M 80 M 69 F 55 F 60 M 65 M 59 F 58 M 84 F 75 M

9/21/12 7:30PM 9/1/12 8:10PM 11/19/12 12:29PM 9/17/12 11:50Am 11/16/12 12:01AM 11/27/12 2:10AM 11/28/12 11:32Am 12/12/12 10:37PM 11/28/12 10:19PM 11/4/12 4:32PM 8/29/12 2:07PM 12/10/12 3:20PM

9/30/12 unimproved 9/5/12 improved 11/22/12 improved 9/25/12 improved 11/26/12 improved 12/3/12 improved 12/3/12 died 12/30/12 improved 12/1/12 improved 11/11/12 improved 9/2/12 died 12/17/12 improved

11:20Pm 10:30PM 11:30AM 12:55PM 9:30PM 4:10AM 2:40AM 10:55PM 8:00AM 6:20PM 3:20PM 8:30PM

11:50PM

increased in densities amidst the reticulonodular densities

#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

1 Sputum: candida 0

1 1 1 1 1 1

1 1

1 1

1 1 1 1 1 1 1 1 1 1 1 1

3:00PM 1:20PM

partial regression interval resolution Resolution of congestion; pneumonia on right base

1 sputum: candida 1 sputum: no growth 1 sputum/blood: no growth

6:00Am

1 1

#VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE! #VALUE!

1 1 1

1

1 2 2

11:00PM 1:00PM 1:00AM 2:00PM 9:00PM

progression of opacification

0

regression decrease in haziness partial regression

1 sputum: no growth 1 Sputum: no growth 1 sputum: no growth

1

1 1

1 2

Sign up to vote on this title
UsefulNot useful