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Life Threatening? No
Write-up: Pt is a 89 y.o. female with ovarian cancer and HFrEF, HTN, and atrial fibrillation who presents with significant weakness after being diagnosed with COVID on 9/1. She came in today because as she states it she "didn''t think she was going to make it". This is a lady that at baseline does aerobics for 50 minutes three times per week. She lives alone and due to her weakness and fatigue felt like she could fall. She has not fallen and denies feeling light headed, she just feels weak. Respiratory: Positive for cough and shortness of breath. Cardiovascular: Positive for palpitations. Negative for chest pain. COVID-19 pneumonia - on 2L this morning, saturating 98% - CXR 9/6 with bibasilar airspace disease - She has had 2 doses of moderna vaccine Plan: - hold off lasix today, seems euvolemic, likely can get off oxygen - wean off oxygen - remdesivir, dexamethasone On discharge: COVID-19 pneumonia - was requiring 2L oxygen, successfully weaned down - ambulatory pulse ox was 97% on room air - She has had 2 doses of moderna vaccine - s/p 5 days of remdesivir and 7 days of dexamethasone - to continue 3 more days of dexamethasone at rehab - not received antibiotic Discharge Disposition/Condition Condition: Stable (s/sx potential problems absent or manageable)
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