HOSPITAL COURSE: The patient’s hospital course was characterized by progressively downhill course. He was initially hospitalized and found to be mildly hypoxic, which rapidly corrected subluminal low-flow oxygen therapy however, he gradually became more oxygen dependent on high-flow oxygen, eventually requiring intubation with mechanical ventilation in order to maintain his oxygenation. He underwent an open lung biopsy an attempt to delineate the etiology of his pulmonary situation, and this was reported as idiopathic pulmonary fibrosis and abilities.
The specimen was sent to the Forest General Pathology Department for further evaluation, and they were able to give no further help concerning the ideology pf his pulmonary status. An echocardiogram showed left ventricular walls motion hypokinesia an ejection fraction of approximately 35%. Dr. J. K. McClain and other members of the cardiology department consulted on the patient. They felt that his hypokinesia and breathlessness were not secondary to his cardiac status.
He had supraventricular cardiac arrhythmias, including atrial fibrillation and atrial flutter. The cardiology staff utilized intravenous medications that controlled the cardiac rate, adequately resolving these cardiac issues. I managed the patient’s venerator in the intensive care status along with my respiratory therapy team. Unfortunately the patient developed multiple infections, hospital acquired, included Klebsiella pneumoniae infection and probable fungemia.
The Essay on HIV/AIDS patients in Zambia; Are they cared for?
Executive summary Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome (HIV/AIDS) pandemic has created terrible burden for millions of individuals, families and communities worldwide. All sorts of exertions have been tried to curtail this tormentor and yet no known cure or vaccines have been discovered to prevent it. Religious prayers and even rituals have also seemed futile. However, ...
Multiple evaluations of the dispute lungs of the present’s active pulmonary tuberculosis were negative. The patient developed acute renal failure, managed by DR. Trever Jordan and his team of nephrologist by hemodialysis. Mechanical ventilation, hemodialysis, nasoduodenal feeding tube were completed in an attempt to provide further support however, the patient continued to deteriorate. On January 15 at 0017 hours he became asystolic. Code Blue was called.
The patient underwent advance cardiac life-support with multiple medications. He felt a response to the advance cardiac life-support and was pronounced dead at 0041 hours on January 15th. Permission for autopsy was denied. FINAL DIAGNOSES 1. Idiopathic fibrosis with alveolitis. 2. History of tuberculosis. 3. Acute renal failure. 4. Hospital acquired septicemia and a fungemia multiple organisms. ___________________ Simon Williams, MD Of pulmonology SW: XX D: 02/23/2014 T: 02/23/2014
