Death summary case 3 Putul Barua
DEATH SUMMARY________________________________________
Patient Name: Putul Barua
Patient ID: 135799
Room No.: CCU-4
Date of Admission: 01/07/2014
Date of Death: 01/15/2014 at 0041 hours
Admitting Physician: Simon Williams, MD of pulmonology
Consultants: J.k. McClain, MD of cardiology Trevor Jordan, MD of nephrology
This 42 year old gentleman was admitted on January the 7th and expired on January the 15th. He was admitted with progressive tachycardia, hemoptysis. Please see his admission history and physical exam for details.
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,
Patient Name: Putul Barua
Patient ID: 135799
Room No.: CCU-4
Date of Admission: 01/07/2014
Date of Death: 01/15/2014 at 0041 hours
Admitting Physician: Simon Williams, MD of pulmonology
Consultants: J.k. McClain, MD of cardiology Trevor Jordan, MD of nephrology
This 42 year old gentleman was admitted on January the 7th and expired on January the 15th. He was admitted with progressive tachycardia, hemoptysis. Please see his admission history and physical exam for details.
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,