Description
I have a plan care to do I will provide you with all information. Please dont use AI or any sources, I need this to be perfect so please if you can do it accept this.
Patient information
Initials- EA
Age:45
Male
No allergies
Problems:
Obesity
Hyper tension
Acute kidney injury
Hyponatremia
Left artial dilation
Grade 1 diastolic dis function
Mild tricuspid valve regurgitation
Pulmonary hypertension
Right ventricular dilation
Right ventricular systolic disfunction
Chronic right heart failure
Obstructive sleep apnea
Acute hypertension
Severe edema
Leg wounds
Former tobacco use – 2 pack a day for 10 years
Diet general consistency- 2-3 grams of sodium
Main diagnosis
Varicose vain
Lab values:
Glucose 100
Urea nitrogen 70
Creatinine 1.8
Sodium 129
Chloride 91
Red blood count 2.82
Hemoglobin 7.8
Hematocrit 24.7
Vital signs:
BP 114/73
HR 99
Temp 97.6
Resp 18
Height 5,10
Weight 281
BMI 40.43
Spo2 98
Meds:
Epoetinalfa (Epogen/Procrit) 10 thousand units
Pumetanide (Bumex) 2Mg oral tablets
Polyethylene glycol ( miralax) 17G oral powder
Potassium chloride 20Mg oral
Tramadol (ultram) 50 Mg oral
Spironolactone ( aldactone) 50Mg oral
Ferrous sulfate 325Mg (16Mg iron)
Cyclopenzaprine (flexeril) 5Mg oral