51347 GODHAMMA

COVID-19 WITH ACUTE RESPIRATORY DISTRESS SYNDROME.

C/o fever since 2-3 days

Cough, SOB since 2 days

Patient had decreased physical activity, walk with walker support due to knee pains since 1 yr

K/c/o HTN since 2-3 yrs, gastric ulcer since 2 yrs

AT ADMISSION:

Afebrile

PR: 85/min

BP: 140/70mmHg

RS: BAE+

CVS: S1S2

RR: 22/min

SPO2: 94% on 15 Litr O2

P/A: Soft
A 80 year old female patient GODHAMMA came with c/o fever since 2-3 days, Cough, SOB since 2 days, patient
had decreased physical activity, walk with walker support due to knee pains since 1 yr. K/c/o HTN since
2-3 yrs, gastric ulcer since 2 yrs. All necessary investigations were done and diagnosed as COVID-19 WITH
ACUTE RESPIRATORY DISTRESS SYNDROME. Patient was connected to NIV supports she was not
maintaining saturation with NRBM. On NIV with FIO2 100%, her SPO2 98%. On 07.06.2021 at 5.00 PM Patient
had 1 episode of seizures for 1-2 min Inj Levipil 1 gm IV stat given followed by BD . On 08.06.2021 at
7.16 AM Patient had sudden cardiac arrest, BP & pulse not recordable CPR started immediately according to
ACLS guidelines, Emergency intubation was done in view of low GCS and compromised airway with 7.5 cm and
CPR
connected to ventilator on SIMV mode with 100% FIO2 inotropic support was started in view of hypotension.
continued for another 30 min despite of all resuscitative measures, patient could not be revived back,
12 lead ECG was taken showed flat line. Hence patient was declared dead at 07.52 am on 08.06.2021
to attendants.

CAUSE OF DEATH
--------------
SUDDEN CARDIOPULMONARY ARREST DUE TO COVID-19 WITH ACUTE RESPIRATORY DISTRESS
SYNDROME.