Name: Te Kok Yao

Age/Sex: 87/M

Admitting Diagnosis:
PLEURAL EFFUSION SEC TO PARAPNEUMONIC VS CHF, RESOLVING;
DMT2
S/P UTZ GUIDED THORA 3/6 1030 CC RIGHT
S/P UTZ GUIDED THORA 3/14 650 CC LEFT
ADHF ASCVD 3V CAD IN SINUS RHYTHM
NYHA FC IIIC
S/P CABG 2005
INSTENT THROMBOSIS
S/P PTCA 3/18 (RCA LAD

Current Medications:
1. Digoxin 0.25mg ½ tab once a day
2. Simvastatin 40mg tab once a day
3. Pantoprazole 40mg tab once a day
4. Doxofylline 200mg 2x a day
5. Lactulose 30ml at bedtime
6. Acetylcisteine 600mg tab once a day
7. Ticagrelor 90mg once a day
8. Sitagliptin 100mg once a day
9. Human insulin 4 units subcutaneous 3x a day
10. Cefepime 1g IV every 8 hours
11. Levofloxacin 500mg once a day
12. Insulin Glargine 14 units subcutaneous before 6PM
13. Potassium Chloride 600mg tab 2x a day