BULACAN MEDICAL CENTER – PULMO WARD

February 1, 2018
Abalos, Ethan Wt: 6.8 kg Cc: DOB 1/30: 109/0.3/13.7/7.7/4.8/508 D5IMB
2 mo./M CR: 103 2 weeks PTA, (+) cough and (+)
10/29/2017 RR 52 colds, (-) fever consulted at HC CXR Meds:
BALAGTAS T 36.6 was given Amoxicillin, Ceftriaxone
O2 sat 95 Salbutamol
DOA: 1/26/2018 7 days PTC, still with cough, -- Zinc
(+) retractions subcostal consulted Fluimucil
(+) alar flaring Hydrocortisone

Pneumonia, severe
Fidelson, James Wt: 5.5 kg Cc: 1/28:121/0.3/7.9/13.1/81.1/180 D5IMB
2/M CR: 122
ADDRESS RR 70 CXR Meds:
T 36.5 Pen G
DOA: 1/28/2018 O2 sat 78 to 96% Salbutamol
Hydrocortisone
(+) alar flaring, SCE, (+) fine Zinc
rales, BLF, (+) retractions, Fluticasone 123mcg
SC/IC PCAP-C O2 via NC at 2 lpm
Quetua, Marc Wt: 4.5 kg Born to a 22 y.o G2P2(2002) 1/30: 117/0.35/10.2/41.4/45.1/330 D5IMB (100)
Joseph CR: 168 mother at BMC, 2800g, AGA, AS ? @ 18 gtts
1/m RR 45 Hepa B, BCG and Vit. K given, CXR:
MALOLOS T 36.6 Ampicillin
12/18/17 O2 sat 93% Mother had regular PNCU at Gentamicin
BMC with regular intake of feso4 Salbutamol neb q6
DOA: 1/30/2018 starting 5 mos AOG up to Paracetamol
delivery, (-) UTI, (-) URTI, (-) HPV,
(-) DM, (-) BA, (-) Hep B

Mother had 4 hours of labor,

good cry and good activity (-)
meconium stain (-) cord coil,
discharged after 3 days

Patient was apparently well until

1D PTA, (+) colds, (+) fever, no
vomiting, no LBM, no consult
done and no meds taken

Pneumonia, Severe
Pactores, Jhon Wt: 5.5 kg 2D PTA, (+) cough, non- 1/30: 87/0.25/7.7/54.4/35/427/ IVF: (100) D5 0.3% NaCl
Matthew CR: 156 productive, non-distressing, at 35 gtts/min x 8 hours
Benedictos RR 53 associated with colds, (-) fever (-) CXR
2 mos/M T 37.2 vomiting, no consult was done, Ampicillin
PULILAN O2 sat 94% no meds taken, Salbutamol
11/29/2017 Paracetamol
FH PTA, still with non-productive Gentamicin,
DOA: 1/29/2017 (+) rales, BLF cough, patient was noted to be
(+) retractions IC/SC DOB with chest rising, iriitability
hence consulted and was
subsequently admitted

Pneumonia, severe
Narvarte, Mark Wt: 13.8 kg Cc: dyspnea For Gene Expert: IVF: (30) D5 0.3 NaCl to
Daniel CR: 128 Patient was apparently well until, run at 51-52 ugtts/min
5y.o/M RR: 48 1D PTA, pt was noted to have 1/29: 115/0/3/9/1.8/6.6/426 x 8 hours
PLARIDEL T: 36 non-productive cough, not
11/05/2012 O2 sat 95% associated with rhinitis and fever CXR Pen G
FH PTA, cough persisted and was Salbutamol
DOA: 1/29/2018 (+) head lesions noted to have DOB, consulted at Hydrocortisone
SCE (+) rales, occasional the ER, salbu neb done, persisted Zinc sulfate
wheezes hence THOC Salmeterol +
(+) IC/SC retractions Fluticasone 25/125 mcg
MDI, 2 puffs BID with
spacer
DAT w/ SAP
Mupirocin
BAIAE O2 via NC @ 2lpm
Alejo, Zhyron Jhay Wt: 13.9 kg CC: DOB 1/30: 98/0.3/25.04/5.8/90.1/299 D5 0.3 NaCl to run at 52
3 y.o/M CR: 175 ugtts
PULILAN RR 26: 2 days PTA, pt had colds and non- CXR
06/15/2014 T 40 productive non-distressing Penicillin G
O2 sat 94-95 cough, associated with fever, Salbutamol
DOA: 1/29/2018 undocumented, consulted at RHY Paracetamol
and was given Paracetamol Zinc

FH PTA, persisted now with DOB -

- > ER

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