839999049 YC
59242403
431924
11/01/2000 12:00:00 AM
Obstructive Sleep Apnea
DIS
Admission Date :
11/01/2000
Report Status :
Discharge Date :
11/04/2000
****** DISCHARGE ORDERS ******
BREUNCLONTSTREAUAYLES , BINTRIREE
766-50-79-4 H55
Room :
42Z-770
Service :
MED
DISCHARGE PATIENT ON : 11/04/00 AT 03:00 PM
CONTINGENT UPON
Not Applicable
WILL D / C ORDER BE USED AS THE D / C SUMMARY :
YES
Attending :
AISTAKEFLICHSKI , TAINE D. , M.D.
CODE STATUS :
Full code
DISPOSITION :
Home
DISCHARGE MEDICATIONS :
WELLBUTRIN ( BUPROPION HCL ) 150 MG PO BID FOLATE ( FOLIC ACID ) 1 MG PO QD ATIVAN ( LORAZEPAM ) 1 MG PO Q12H X 1 Days ATIVAN ( LORAZEPAM ) 1 MG PO QHS X 7 Days Starting on 11/5 MVI THERAPEUTIC W / MINERALS ( THERAP VITS / MINERALS ) 1 TAB PO QD
Alert overridden :
Override added on 11/03/00 by TWADA , STASTERL ETHESHI , M.D.
POTENTIALLY SERIOUS INTERACTION :
SIMVASTATIN and NIACIN , VIT.
B-3 Reason for override :
indicated THIAMINE ( THIAMINE HCL ) 100 MG PO QD SIMVASTATIN 40 MG PO QHS
Override Notice :
Override added on 11/03/00 by TWADA , STASTERL ETHESHI , M.D. on order for MVI THERAPEUTIC W / MINERALS PO ( ref # 90299469 )
POTENTIALLY SERIOUS INTERACTION :
SIMVASTATIN and NIACIN , VIT. B-3
Reason for override :
indicated LISINOPRIL 10 MG PO QD NICOTINE PATCH ( NICOTINE ) 21 MG/DAY TP Q24H
DIET :
House / NAS / Low chol / low sat. fat < FDI >
RETURN TO WORK :
Immediately
FOLLOW UP APPOINTMENT ( S ) :
Firmert Hospital 11/6 at 9am scheduled , Cialneinsisters Hospital And Medical Center 11/16 at 8:15pm scheduled , Dr. Condnort 12/04 at 2pm scheduled , Dr. Lila Spielbjaque 12/01 at 1:50pm scheduled , No Known Allergies
ADMIT DIAGNOSIS :
r / o MI
PRINCIPAL DISCHARGE DIAGNOSIS ;
Responsible After Study for Causing Admission ) Obstructive Sleep Apnea
OTHER DIAGNOSIS ;
Conditions , Infections , Complications , affecting Treatment / Stay HTN tobacco EtOh abuse sinus bradycardia
OPERATIONS AND PROCEDURES :
OTHER TREATMENTS / PROCEDURES ( NOT IN O.R. )
BRIEF RESUME OF HOSPITAL COURSE :
50 yo M from Taheimpromong admitted w / CP for r / o MI .
Has significant cardiac
RF :
FH , HTN , tobacco .
Presented w / epigastric pain , SOB at work .
ETT was negative for ischemia .
Echo showed ef 45-50% , with mild dilatation and no significant valvular disease , and nl PAP .
ACE team consulted who arranged for pt to have outpt follow up .
During this hospitalization , pt was noted to have sinus bradycardia and pauses , associated with desaturations in the 70 's .
CPAP at 5 was attempted , but pt did not tolerate this .
He will have outpt fitting at the sleep center in Sabo .
Pt also counselled re :
quitting smoking , and he appears motivated to do so , as well as to cut down on his drinking .
ADDITIONAL COMMENTS :
1. llame a su doctor y haga cita para verlo dentro de 1 semana .
2. llame a la clinica the Wake Valley Hospital 442/961-2446 , si tiene que cambiar la cita .
DISCHARGE CONDITION :
Stable
TO DO / PLAN :
No dictated summary
ENTERED BY :
LARDES , COLNKAY , M.D. ( IP09 ) 11/04/00 03:34 PM
****** END OF DISCHARGE ORDERS ******