MORNING PASSOVER HOSPITAL MUADZAM SHAH (COVID)

WARD: FEMALE COVID 19

DATE: WEDNESDAY, 16/02/22

BED NAME AGE CAT IX CXR PLAN

NO
1 Nafisah bt abd Rahman 60 Covid 19 ALC: 1.19 17/2/22: clear 1. HFM 15L/min
u/l DM, HPT, HPL cat 4 CRP: <6.0 2. Cont iv dexa 8 mg od
infected spondylodiscitis T9-T10 with Day 3 EDT: Not done 3. For maximum medical therapy
complete neurology RTK, day 5 NLR:
ADL dependent since march 2021 illness
ABG (NPO3L/min, 17/02): pH 7.48, PO2
DIL/NAR issued Iv dexa 56.1, PCO2 36.0, HCO3 27.3, O2 sat 91.7%
8mg od day ABG (VM 60% 18/02): pH 7.46, PO2 60.7,
2 PCO2 35.3, HCO3 25.6, O2 sat 92.7%

2 Melah binti Marih 74 4a ALC: 0.53 to 0.63 - 0.54 Hyperinflated DIL & DNR ISSUED
U/L HTN not on treatment Day 7 CRP: 12 to 24 -48 lungs
ADL Semi-dependent EDT: Not done Cxr 17/2: similar 1. Monitor spo2 under RA, accept
NLR: 16 changes spo2 >92
Vaccination: 2 doses 2. ABG, FBC, CRP cm
ABG (NPO3L/min, 12/02): pH 7.417, PO2 3. T.Dexamethasone 6mg OD D2
Onset of symptoms: 1/52 62.1, PCO2 37.3, HCO3 23.5, O2 sat 92.3% (completed 1/52)
DIL/NAR issued ABG (VM40% 13/02): pH 7.433, PO2 64.0,
PCO2 33.8, HCO3 22.1, O2 sat 93.3%
ABG (FM 5L 17/02): pH 7.46, PO2 84,
PCO2 32.2, HCO3 24.8, O2 sat 97%
ABG (RA 18/02): pH 7.50, PO2 56, PCO2
33, HCO3 27.3, O2 sat 92.1%

3 Zaharah binti Elong 40 2 ALC: 2.14 Clear

U/L NKMI Day 7 CRP: <6.0
EDT: Negative
Caretaker for Melah NLR: -
BED NAME AGE CAT IX CXR PLAN
NO
Vaccination: 2 doses
4 Rusiah bint mahmudin 59 Cat 3 day 5 ALC: 2.30 Left LZ haziness 1. For daily dressing over
u/l DM, HPT, CKD stage 3 CRP: <6.0 pressure sore left foot
(step up from pkrd uniten for daily 2. Eod blood taking
dressing over left foot)

7 Nurbaidura Kasim 29 2 ALC: 0.87 – 1.85 Clear Cont S/C Clexane 40mg OD
G5P1+3 @ 21w2d Day 8 CRP: 12 - 8 Allow discharge today
ANC: miscarriages EDT: Negative
NLR: -
Vaccination: 2 doses
8 Nurzuhana binti Zubi 35 3 ALC: 1.08 B/L LZ haziness 1. S/C Clexane 40mg OD
G1P0 @ 22w5d Day 6 CRP: 48 2. Cont T.Methyldopa 250mg BD
ANC: EDT: Negative 3. T.CaCO 500mg OD
1. Gestational hypertension NLR: - 4. S/C Actrapid 10/12/10 TDS
2. Overt Diabetic mellitus 5. S/C Insulatard 14u ON
3. Primary subfertility for 6 years

Vaccination: 2 doses
9 Mashitah binti Zulkifli 32 2 ALC: 1.92 Clear 1. S/C heparin 5000u BD
G4P2+1 @ 29w3d Day 5 CRP: 12 2. Aim discharge D7
ANC EDT: Negative
1. GDM on diet control NLR: - *Pt not agreed for S/C Clexane
2. 2 previous scars
3. Poor spacing Coag profile: normal

Vaccination: 2 doses
10 Norzita binti Osman 40 2 ALC: 1.55 Clear 1. Cont T.Metformin 500mg BD
G5P3+1 @ 20w2d Day 5 CRP: 8 2. S/C heparin 5000u BD
ANC: EDT: Negative 3. Coag profile cm
1. GDM on T.Metformin NLR: -
*Pt not agreed for S/C Clexane
Vaccination: 2 doses
 BED NAME AGE CAT IX CXR PLAN
NO
11 Zainab binti Razali 64 2 ALC: 3.46 Clear 1. T.Amlodipine 10mg OD
U/L HTN (2003, single anti- Day 5 CRP: <6.0 2. T.Perindopril 4mg OD
hypertensive) EDT: Negative
NLR: 1
Referred for hypertensive urgency

Vaccination: 2 doses + booster

12 Nurul Anis binti Nasir 21 2 ALC: 0.83 Not agreed 1. S/C heparin 5000u BD
G1P0 @ 19w6d Day 5 CRP: 8.0
ANC: uneventful EDT: Negative
NLR: - *Pt not agreed for S/C Clexane
Referred for maternal tachycardia Coag profile: normal
(PR 90-100)
13 Ummi Umairah binti Mohd Sahak 26 2 ALC: 1.80 Clear
Day 5 CRP: 12
Caretaker for B/O Ummi EDT: Negative
NLR: -
Vaccination: 2 doses
14 B/O Ummi Umairah binti Mohd Sahak Day 2 ALC: 1.64 Clear 1. Off abx.
30 of Day 5 CRP: <6.0 2. Trace formal culture
1. Presumed sepsis life EDT: -
NLR: -

Blood C&S: SFNG after 48h

Bed available: 2
Total bed: 16
Number of patient: