Patient Chart
Patient: HERNANDEZ MUNOZ, MARIA DE LOURDES - 900009357
Chart:
1 Episode:
1
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Form Date:
07/03/2024
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HOSPITAL ADMISSION DX/SYMPTOMS:
Acute Hypoxic respiratory failure with worsening dyspnea and chills x 3days
ADDITIONAL OR NEW DIAGNOSIS FOR HHC:
Pneumonia with unspecified organism
SURGICAL TREATMENT AND DATE
NONE
NEW ORDERS/MEDICATIONS
I. TREATMENT:
continue Dialysis T,TH,Sat
continue with wound care : right anterior lower leg : cleanse with wound cleanser , dress with Hydrofera Blue ,cover with ABD pad ,wrap with Kerlix,secure with tape q visit
II. MEDICATIONS:
continue all existing medications
III. DIET:
Renal diet
IV. SERVICES:
SN frequency effective 07/03/2024, 2x/wk x 1 wk, 3x/wk x 2 wks, 1/wk x 1wk through 07/26/2024
CURRENT CERTIFICATION PERIOD: FROM
06/18/2024
TO
08/16/2024
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