11/19/2023 0 Comments Icd 10 pulseless electrical activityShe was on a bicarbonate drip, and we gave her multiple amps of bicarbonate. She received multiple doses of Ativan, and then I gave her around 20 mg (milligram) of Versed and started a Versed drip. She received bicarbonate and was sent to the emergency room. Monitor showed wide QRS (Q-wave, R-wave, S-wave) complexes. Paramedics were on the scene in 4 to 5 minutes. She slept for an hour until 10:30, and then she started having generalized seizures on and off four times, during which her husband call 911. She called her husband, who came over at approximately 9:30 tonight. Location: Hospital Emergency Department Patient: Linda Paulo Physician: Marvin Elhart, MD The patient is a 23-year-old Hispanic female who took some medications to sleep tonight, including what sounds like amitriptyline and Hydrocodone. Elhart, the cardiologist on call from the local clinic, to provide critical care services to Linda Paulo. Sutton, emergency room physician, called in Dr. Service Codes: ICD-10-CM DX Codes: ICD-9-CM DX Codes:Ĭritical Care Service Dr. Continue to check blood sugars as stress can sometimes make these go off. Watch for signs of infection follow up if any occur. He may rinse with some hydrogen peroxide and water. She was advised to keep the area clean and to make an appointment with the family practitioner for removal of sutures in 7 days. I reassured her that the laceration was minor and only required two sutures to close adequately. Plan: Discussed my findings and diagnoses with the mother. Upper inner lip laceration, requiring simple suture repair. No TMJ (temporomandibular joint) tenderness. The right lower lip above the vermilion border has an abrasion. Superficial skin edges are not opposed, not bleeding. Right upper lip: He had a 1- to 1.5-cm (centimeter) laceration. He has some tenderness and erythema in the right cheek where he was hit, no obvious swelling. PERRLA (pupils equal, round, reactive to light and accommodation). Physical examination: Head is normocephalic. Note the patient normally wears glasses but did not have them for this examination. He also notes that he had a cut on his right lower lip and upper inside of his right lip as well. Immediately following this he had some blurry vision in the right eye, which slowly has improved and is near normal now. The patient states that he did get hit on the right cheek area. Mother is concerned because he is a diabetic and has a couple of lip lacerations, also complained of some transient blurry vision, which has since improved. 2007 4(6):775–80.Emergency and Outpatient Record Location: Outpatient, Clinic Patient: Ryan Hoffgrand Physician: Paul Sutton, MD This is a 17-year-old make who comes in after he got punched in the right side of his face. OptiVol fluid status monitoring with an implantable cardiac device: a heart failure management system. Yamokoski LM, Haas GJ, Gans B, Abraham WT. Utility of impedance cardiography for the identification of short-term risk of clinical decompensation in stable patients with chronic heart failure. Packer M, Abraham WT, Mehra MR, Yancy CW, Lawless CE, Mitchell JE, Smart FW, Bijou R, O’Connor CM, Massie BM, Pina IL. 2017 AHA/ACC/HRS guideline for management of patients with ventricular arrhythmias and the prevention of sudden cardiac death: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Al-Khatib SM, Stevenson WG, Ackerman MJ, Bryant WJ, Callans DJ, Curtis AB, Deal BJ, et al.
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