Professional Documents
Culture Documents
March 14 - March 15, 2021
March 14 - March 15, 2021
Dr. Ocampo/Hizon/Santos
4 0 MORTALITIY 2
DISCHARGE
SERVICE IN PATIENT
931 JB CHF sec to IHD s/p CABG Diet: NGT feeding 1600 kcal peptamen 1:1 dilution 6 equal feedings For 6 sessions of cardiac Dr. Cabasa
Card 59/M 02/26/21 IVF: PNSS IL x 10 cc/hr rehab Dr. N. Cruz
POD 16 Meds: Trimetaizidine 35 mg BID, Atorvastatin 80 mg ODHS, Fenofibrate 160 mg ODHS, Omeprazole 40 mg OD, Cotrimoxazold 400/80 No sx management
mg tab BID, Aspirin 80 mg Od , Midazolam 2 mg IV PRN , Ivabradine 5 mg half tab BID , Citicoline 1 gm tab BID ,Paracetamol 650 mg q6,
Morphine 2mg q4, Digoxin 0.25 mg OD, Doxophylline 400 mg OD.
Labs:
3/5:Interval increase in homogenous opacity in LLL previously ascribed to pneumonia with consolidation. Pulmonary congestive
changes; Beginning pneumonia in RLL, Aa, Thoracic spondylosis
3/5:Crea 0.6 Bun 15.6 K 4.16 Na 138
936 EA Non-healing wound Left Diet: DM Diet 1, 800kcal Wound care Dr. Fojas/ Salvana/ Tiongco/ Cabasa
REF 54/F Leg IVF: Furosemide 240mg + 216 ML PNSS X 5 MG/HR
2/27/21 HASCVD, CAD, Meds: Ceftriaxone 2 gm IV Q24, spironolactone 25mg, enoxaparin 0.6 ml, ertapenem 1gm, sulodexide 600 csu
S/P CABG Labs: 2/27/21 wbc 16.2, N 78, L 15, M 7,E 0, B 0, Hgb 10.7, Hct 33.6, MCV 84.6, MCH 27,MCHC 31.8, Plt ct. 478
DM Type II 3/1/21: Crea 0.60, Na 141, EGFR-CREA: 103.34, K 4, BUN 16.4
s/p wound debridement 3/3/21 crea 0.60, Na 139, eGFR-crea 103.34, bun 17.6, K 3.78; cbc wbc 16.1, N 80, L 13, M 7, RBC 4.1, hgb 10.7, hct 34.2
(3/8/2021) POD 7 ¾/21: cbc wbc 17.7 Hgb 12.1 Hct 37.9 plt 254, N 82, L12, M6, Na 140, K 4.03
s/p Aortogram with Latest hgb 11.4 (12.1) K 3.52
Peripheral Run off, Iliac
Artery Stenting 3/12/21
939 CS CVD Infarct, Cerebellar Diet: Ensure Gold Gtube Feeding 40cc/hr For CBC Dr. Seng
ER 69/M S/p Tracehostomy, IVF: PNSS 1L 40 cc/hr Dr. Alvez
Gastrostomy; MV Settings: Simv, Ps 12, Rr 12, TV 400 , Pf 59 peep 5
2/20/21 2/27/21 POD 15 Meds: Cerebrolysine 10 ml IV q8 Levofloxacin 1 gm IV OD Atorvastatin 80 mg tab OD Paracetamol 500 mg tab q6 PRN Lactulose 30 mL ODHS Dr.Orantia/Dr.Hizon/Dr.Santos
s/p IJ cath (3/4/2021) Linagliptin 5 mg tab BID Ranolazine 375 mg tab BID Carvedilol 12.5 mg tab BID Metoclopramide 10 mg IV q8 PRN Rebamipide 100 mg tab TID
s/p 2 units PRBC (3/5/21) Labs
3/5/2021 Wbc 8.9 (11.1) Neutro 89 Lymph 6 Hgb 8.4 (9.7) Hct 25.1 Rbc 2.7
Carotid duplex scan:Carotid artery disease <50% stenosis of ICA <50% stenosis of left CCA and bilateral ECA Hypoplastic left vertebral artery
consider stenosis of most distal segment of right vertebral artery.
Abg ¾/2021: Ph 7.545 Pco2 29.4 Po2 51 mmHg Hco3 24.9 Be 2.4 O2 sat 91%
Cxr portable ¾/2021 Consider pneumonia righg Minimal PE, left AA
Latest hgb 10.7 (11) crea 1.4 (1 Na 132 (135) K 4.29 (4.26)
940 JP CCC Diet DAT For Laparoscopic Dr. Valparaiso
DTR 24/F t/c choledocholithiasis IVF: HL Cholecystectomy Dr. Maralit
3/11/21 Meds: Cefoxitin 1gm IV Q8, Tramadol+Paracetamol Q8 3/15/21 TF 12NN Case Dr. Ocampo/Quitoy/Hermogino
Labs:
3/11/21 ALT 750, Tbil 4.90/Dbil 3.70/iBil 1.20/AT 550
3/11/21 PTT 22.3 vs 27.2/PT 10.8vs 13.1/101.7% Act INR 0.93/Wbc 6..S54/L34/Hgb13.6/Hct39.4/Platelet253
834 FV Invasicve Ductal Carcinoma, Diet: DAT For MRM, Rleft Dr. Azores
REF 66/F Left IVF: D5NR 1L x 8 hours 3/15/21 8AM
DMII; Hypertension Meds: Cefuroxime 1.5gms I LD Dr. Ocampo/Dr.Hizon/Dr.Santos
3/14/21 Labs:
837 OK Uremic gastropathy Diet 0.6g/kg/day protein, low purine For Vascular Ultrasound Dr. Gensolin
ER 58/M s/p HD (3/11/21) s/p IJ cath IVF PNSS 1L x 60cc Tuesday AM
3/10/21 (3/11/21) Meds: Calvit 1tab PO D, Ketoanalogiue 600mg PO TID, Febuxostat 20mg PO OD For AVF Creation prior to Dr. Ocampo/Quitoy/Hermogino
3/9/21 wbc 10.6/S88/L4/hgb12.1/Hct34.6/platelet66 discharge
3/11/21 PT 11.9 vs 12.5 INR 1.03/84.2% act/PTT 30.8 vs 27.2
3/9/21 crea 10.30
838 RG Lumbar disc disease Diet: LSLF diet No sx management for Dr. E. Gervasio / Dr. P. Gervasio / Dr. C.
59/M IVF: HL now Francisco
Dr. Amante/Hizon/Santos
839 AO, T/C Electrolyte imbalance, Diet: PEG drip feeding glucerna 6 ½ scoopd in 155 ml water to make 200 ml
REF 85/M anemia probably sec. to IDA, IVF: pNSS 1L x 40 cc/hr For Crea, Na, K Cl Dr. Azores
HASCVD, NF; DM Type II, Meds: Valproic acid 500mg ½ tab PO BID, KCl tab 600mg 2 tabs PO q8, Lantoprazole 30mg PO OD, Quetiapine 50mg PO ODHS, Propanolol 10mg PO 3/15/21
DA: 2/23/21 S/P 2 units pRBC (2/25/21), BID, Empagliflozin + Linagliptin 25mg/5mg PO ADAC, Furosemide 40mg PO OD, Metholazone 5mg ½ tab PO OD. Dr. Amante/Quitoy/Santos
DR: 3/6/21 1 unit pRBC (2/26/21) Labs: MGH
s/p PEG insertion (3/10/21) 3/7/21: Crea 1.80, EGFR-CREA 33.57, NA 136, K 4.71. PGI Masarap, Jimenez, Macalisang
Latest hgb 11.8 from 6.5
POD 5
840 JR Milliary TB, Thoracic Diet DAT (exclude apple and banana) Dr. N. Cruz/ Dr. Castillo
ER 33/M spondylosis IVF: HL Rehab
Meds: Pregabalin 75mg BID, Dexamethasone 4mg PO TID, Paracetamol 500 mg PO, Omeprazole 40 mg PO, HRZE, Levofloxacin 500mg OD, MGH
1/28/21 Lactulose 30ml ODHS, Dexamethasone 4mg BID
2/20/21: Crea 0.60/ Na 145/ K 3.98/ eGFR Crea 132.1/ AST 24.0/ Mg 2.10/ ALT 18/
2/20/21: WBC 10.3/ Neutro 82/ Hgb 10.6/ Hct 33.7/ Plt 428
2/22/21: CT of thoracic spine with contrast: Increase in size of lesion behind C7-T3 vertebrae presently measuring 4.2 cm AP x 4cm
width prior size of 2.5cm AP x 2.2 cm width involving the muscles. The lesion extends to the left of T2 vertebra and into the spinal canal
causing spinal canal narrowing at T2-T3. It also causes severe bilateral neural foraminal narrowing, and may affect the bilateral exiting
nerves. Presently, it somewhat extends into subcutaneous space. This lesion causes pathologic fracture of spinous process of T2.
2/25/21: hs-CRP 15.2
¾/21: hs-CRP 7.5
3/6/21: ANA 0.20, Procalcitonin 0.17, Crea 0.50, eGFR-Crea 142.36, ALT 17, AST 24, Wbc 8.9, Neutro 80, Hgb 11.4, Hct 36.1, Plt 360, RBC 3.9
845-2 CL Cholediocholithiasis Diet: DAT For ERCP Dr. E. Gervasio / Dr. R. Filarca / Dr. G.
31/F IVF: D5NSS X 8 hrs once NPO 3/15/21 6:30AM CARPIO / Dr. K. Ngo-Sanchez / Dr. G.
Meds: Vistal
Labs:
807 AS t/c RCC, left, CAP-MR. Diet: DAT For Radical Dr. Matias
ER 42/M COVID suspect IVF PNSS 1L X 16 hour Nephrectomy, Left
3/10/21 Mes: Tramadol 50mg/IV Q8.Metoclropormide 10mgIV q8, Ceftriaxone 2gm IV OD, Azithromycin 500mg pO OD, Tramadol 50mg IV q6 3/19/21 Dr. A Perez
Labs: Dr. Ocampo/Quitoy/Hermogino
3/11/21 : PT 14.2 vs 13.1/60%act/INR 1.22/PTT 21.8 vs 27.2 AST 22/ALT 15 For Repeat RTPCR
3/10/21 wbc 8.1/S75/L13/hgb9.3/hct29.8/Platelte188 3/16/21
3/12/2021 Chest CT scan and WAB CT triphasic
817 LP HASCVD, Chronic AF in CVR, Diet: LSLF To complete 14 days Dr. N. Cruz
62/M NVHA FC II; s/p CVD infarct IVF: HL quarantine due: 3/17/21
CARD with RMCA territory, 2020 Meds: Pantoprazole 40mg OD, Trimetazidine 35 mg PO BID, Atorvastatin 80mg ODHS, Apixaban 5mg BID, Citocoline 1g PO ODHS Dr. Quitoy
¾/21 left sided residuals; chornic Labs:
gout flare 2/4/21 WBC: 6.5 L: 15 N:71 M: 10 Hgb: 12.7 Hct: 39.9 MCV: 65.7 MCH: 20.9 MCHC: 31.8 Plt ct: 316 RBC: 6.1 Crea: BUN: 17.7 UA: 4 Na: 139 HS- PGI Malibiran / PGI Ajos
Troponin I: 3.3
¾/21: Crea 1, BUN 16.7, eGFR-Crea 80.31, K 4.18, Uric Acid 4.0, Na 139, wbc 6.5, Neutro 71, Hgb 12.7, Hct 39.9, Plt 316, Trop I 3.3
3/5/21: FBS 92.2
818 CL CAD Severe 4 Vessel Disease Diet: LSLF Diet Dr. Cabsa
ER 55/M IVF: HL Dr. Lukban
Meds: Paracetamol 650 mg Q8, Atorvastatin ODH, ASA 80 mg OD< Carvedilol BID, ISMN OD, Morphine Sulfate Q12, Lactulose
Labs: Dr. Orantia/Dr.Hizon/Dr.Santos
820 HF T/C Generalized anxiety Diet: DAT To complete 14 days Dr. N Cruz
REF 28/M disorder to r/o IVF: HL quarantine due: 3/15/21 Dr. Hizon/Santos
hyperthyroidism Meds: Clonazepam 2mg BID, Omeprazole 40mg PO OD
Labs: PGI Jimenez/Macalisang/Masarap
3/1/21: Wbc 7.5, Neutro 48, Hgb 16.9, Hct 48.1, Plt 293
3/3/21: Crea 1.00, ALT 31, eGFR Crea 101.97, AST 24.0, BUN 14.5,
¾/21: FBS 84.8mg/dl
739 AC Breast mass, right t/c Diet: DM, renal diet For MRM Dr. Fojas
DTR 87/F malignancy IVF: PNSS 1L X 10 hrs 3/16/21 TF 2PM TAHBSO
3/9/21 Meds: Dr. Orantia/Hizon/Santos
Labs:
743 ET s/p ERCP, lap Diet Soft to Full Diet Dr. Sioco
DTR 56/F cholecystectomy IVF PLR1Lx 8hr Dr. Sarmiento
3/13/21 Meds:
Labs Dr. Amante/Hizon/hermogino
745 DP Hepatocellular Carcinoma Diet: DAT limit to 1.5 liters/day Palliative care Dr. Gensolin
DTR 69/F IVF: Ketorolac drip 3 amps in 500 cc D5W x 24 hours Dr.Fabian
Combiflex 1400 kcal x 36h x 53 cc/hr
3/8/21 Meds: Cefuroxime 1.5 gms IV LD Dr.Ocampo/Dr.Hizon/Dr.Santos
Labs:
707 RC Pleural effusion probably Diet: DAT limit OFI 1.2 L/day MGH Dr. Alvez
Ref 36/M secondary to PTB; IVF: PLR 1L X KVO
supracervical abscess, right Meds: piperacillin +tazubactam 4-5gm iv q8,vancomycin 1gm iv q12 Dr. Amante/, Dr. Quitoy/ Dr. Santos
3/6/21 s/p Modified CTT, Right; I&D Labs PGI Lopez Marin
supraclavicular abscess 3/6 UA dark yellow/slight cludy/1+/neg/neg/ket trace/neg/ protein +3/neg/neg/5.0/1.020
3/10/21 POD 3 Wbc 44.1/rbc 8.2/epithelial cells 21.6/hyaline cast 2.9/bacteria 11.4; cbc wbc 7.6/n 88/l 4/m 8/e 0/b0/rbc 4.0/hgb 12.4/hct 37/plt 370; crea
0.70/bun 13.1/egfr crea 121.41/k 4.50/na 131; ast 750/alt 191
708 LO Multinodular toxic goiter Diet: Mechanically Soft Diet Dr. Alvez/ Dr. Sison / Dr. Dayrit / Dr.
DTR 37/M IVF PNSS 1L X 12 hours Ffup Thryoid Function Ngo-Sanchez
3/13/21 Meds: Propranaolol 20 mg BID, Paracetamol 500 mg IV q8 PRN Tests, 2D Echo and 24
Labs: hour holter monitoring
results
711 JB Lumbar radiculopathy Diet: DAT Dr N. Cruz / Dr. Castillo / Dr. Salvana
ER 27/M From lumbar disc herniation IVF: PNSS 1L X 500 CC + Tramadol 300 mg x 100 cc/hr
Meds:
3/13/21 Labs:
720 Lipoma, Lower Back Diet:DAT For Excision Biopsy Dr. Ncruz
DTR /F IVF: D5NR 1L x 8 hours Lipoma, Lower Back
Meds: 3/15/21 11AM Dr. Ocampo/Dr.Hizon/Dr.Santos
3/14/21 Labs:
726-2 HS Pleural Effusion, right sec to Diet DAT w SAP Dr. K. Tan / Dr. Francisco / Dr. Cabasas /
18/M infection s/p CTT insertion IVF: HL Dr. Albay
2/23/21 s/p streptokinase Meds:
fibrinolysis 3/2/21 Labs:
727 FS Non-healing wound, left Diet: DM diet MGH Plastc Surgery Wise Dr. Abesamis
REF 82/F foot IVF: PNSS 1L X 40cc/hr
DMTII, HASCVD Meds: Valsartan + Amlodipine 80/5 mg OD. Rosuvastatin 10 mg OD, Linagliptin + Empaglifzolin 25/5 mg OD, Gliclazide 30 mg OD, Piperacillin + Dr. Orantia/Hizon/Santos
Tazobactam 4.5 g IV q8. Clindamycin 600 mg IV q8
Labs: 3/10/21 wbc 8.4 hgb 12.6 hct 37.4 plt ct 267
3/10/21 K 3.84 Na 142; Urinalysis color straw transparecnt clear blood 1+ glucose trace protein 2+
3/12/21 AV duplex scan of bilateral lower extremities
NICU(0)
IMU(4)
GR UGIB prob. secondary to Diet: ngt feeding 1600 kcal in 6 divided feedings . Dr. Recio/ Gervacio
IMU 5 64/F BPUD vs BEV; Posterior IVF: PNSS1L x 10cc/hr Dr. Orantia/Hizon/Hermogino
mediastinal mass t/c MV settings: SIMV FIO2 40% PS 4 TV 400 PEEP 5 PGI Lopez, Marin
From 933 malignant pleural effusion Meds: Omeprazole 80mg TIV as bolus, Hemostan 500mg TIV,q8 PRN, Hook to NC 3-4LPM, potassium cl 750mg, piperacillin tazobactam 4.5,
Ref pregabalin 75mg, tranex 500 mg
3/1/21 Labs:
3/2/21: COVID (-),
3/4/21: CKMB: 4.1; Trop I: 0.40; BNP: 708, D-Dimer: 2960
3/11/21 wbc 14.5 hgb 12.5 hct 41.2 plt ct 84
IMU 7 JM CKD Diet nepro hp 1000 kcal 1:1 dilution divided into 6 equal feedings Dr. N. Cruz
ER 64/M r/o ATP IVF:pnss x 80 cc/hr
3/9/21 Meds: Fluconazole 200 mg IV OD, Furosemide 20mg IV, Kalmate Q^, Omeprazole 40mg IV O, Sevelamer 500mg TID, Caltrate TID, Folic acid OD, Dr. Amante/Quitoy/Hermogino
Meropenem 500 mg IV q24
Labs:
3/11/21 Chest head and neck ct scan
DISCHARGES()
928 EV Dr Valparaiso / Dr. T. Dumagay / Dr. C
REF 67/F Francisco / Dr. F. Serra
Dr. Amante/Hizon/Santos
827 AQ Dr Gervasio
DTR 76/F Dr. Salvana
CARD
3/9/21 Dr. Amante/Quitoy/Hermogino
Dr. Orantia/Hizon/Santos