688127038 EH
47449520
204512
3/5/2002 12:00:00 AM
TCA overdose
DIS
Admission Date :
03/05/2002
Report Status :
Discharge Date :
03/07/2002
****** DISCHARGE ORDERS ******
HULLEKOTE , AU 329-72-53-3 Z23
Room :
29Z-191
Service :
MED
DISCHARGE PATIENT ON :
03/07/02 AT 11:00 AM
CONTINGENT UPON
Not Applicable
WILL D / C ORDER BE USED AS THE D / C SUMMARY :
YES
Attending :
UPHMADRE , CIOUSALE N. , M.D.
CODE STATUS :
Full code
DISPOSITION :
Rehabilitation
DISCHARGE MEDICATIONS :
FOLATE ( FOLIC ACID ) 1 MG PO QD ZANTAC ( RANITIDINE HCL ) 150 MG PO BID MVI THERAPEUTIC W / MINERALS ( THERAP VITS / MINERALS ) 1 TAB PO QD THIAMINE HCL 100 MG PO QD
DIET :
No Restrictions Activity - As tolerated
FOLLOW UP APPOINTMENT ( S ) :
Dr. Ee , patient to arrange , No Known Allergies
ADMIT DIAGNOSIS :
TCA overdose
PRINCIPAL DISCHARGE DIAGNOSIS ; Responsible After Study for Causing Admission ) TCA overdose
OTHER DIAGNOSIS ; Conditions , Infections , Complications , affecting Treatment / Stay depression ( depression )
OPERATIONS AND PROCEDURES :
OTHER TREATMENTS / PROCEDURES ( NOT IN O.R. )
None
BRIEF RESUME OF HOSPITAL COURSE :
32 y / o woman with h / o anxiety and depression and prior suicide attempt presents with TCA and celexa overdose , tremulous / light-headed , felt better post charcoal .
No EKG changes , marijuana in urine , HCO3 22 .
Transferred to floor on day of admission with no acute medical issues ; awaiting psych eval .
Not actively suicidal .
3/7 -- repeat HCO3 24 and 26 without bicarb drip .
EKG without changes .
Patient felt well , tolerating POs .
BEST team eval found bed at psych rehab facility .
OF NOTE , Nortriptyline level came back as 43 ( SUBTHERAPEUTIC -- NORMAL 50-150 ) .
ADDITIONAL COMMENTS :
DISCHARGE CONDITION :
Stable
TO DO / PLAN :
No dictated summary
ENTERED BY :
KOTEKEESECRANKBERF , LA A. , M.D. ( JG92 ) 03/07/02 10:56 AM
****** END OF DISCHARGE ORDERS ******