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JANUARY 16, 2020: Name Pre-Operative Diagnosis Post-Op Diagnosis Procedure Intra-Op Findings Surge On Plan

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JANUARY 16, 2020

Name Pre-Operative Post-Op Procedure Intra-Op Surge PLAN


Diagnosis Diagnosis Findings on
Sacral Decubitus Wound
Sacral Decubitus Ulcer
Ulcer grade III debridement
grade III
Bangcola, H. Mohmina S/P CVD (2015) with 1-9-2020
S/P CVD (2015) with ALA/SSL/
83/F residual Left sided Low salt, Diabetic diet
residual Left sided AMS/GP
01/03/20 weakness Wound Daily wound care
weakness A
Station 2 Hypertension Stage II, debridement
Hypertension Stage II,
controlled; 1-11-2020
controlled
DM type 2
Malado, Salima R. Gastric Adenocarcinoma,
49/F Poorly Differentiated RUB/SSL/
01/15/2020 Stage IIA (cT2N1M0) AMS/GP For total gastrectomy
116103 S/P EGD Punch Biopsy A
Station 5 (1/7/2020, APMC)

Fatimah Macasasa
IJ catheter MGC/SSL
69/F CKD ST 5 SEC to DK; HPN CKD ST 5 SEC DKD;
insertion /AMS/GP Wound care
01/13/2020 II; CAP MR HPN II; CAP MR
1-14-2020 A
Station 10
Marohom, Noroden CKD sec to HPN CKD sec to HPN IJ catheter MGC/SSL Wound care
44/M Nephrosclerosis, Stage 5 Nephrosclerosis, insertion /AMS/GP
01/13/2020 Stage 5 1-14-2020 A
Service
St 11

ARF secondary to
ARF secondary to Post CP Post CP Arrest
Arrest secondary to AMI secondary to AMI
NSTEMI; NSTEMI;
Mananggolo,
Cardioembolicstroke- Cardioembolicstroke- Emergency
Pangamongan RUB/SSL/
Infarct; Aspiration Infarct; Aspiration Tracheostomy Daily wound care
67/F AMS/GP
Pneumonia; DM Type 2 Pneumonia; DM Type Tube Insertion
12/18/19 A
uncontolled; HPN Stage 2- 2 uncontolled; HPN 1/10/2020
ICU
contolled; AKI on top of Stage 2- contolled;
CKD secondary to HPN AKI on top of CKD
Nephrosclerosis secondary to HPN
Nephrosclerosis

Hadji Omar, H.
Ibrahim Abscess, Posterior Neck
BBB/SSL/ For debridement
63/M Left;
AMS/GP Antibiotic coverage
127542 Newly diagnosed DM type
A
service II
01/13/2020
Jalal Hadji Ali Anemia secondary to ALA/KPD For CTT assessment an
59/M chronic disease /SAK/RLC wound care
s/p CTT insertion with TCVS
Service modified Heimlich
01/13/2020
St 10
ALA/
***Sarip, Norma
Sepsis secondary to WOUND SSL/
63 yo/M Change of dressing
Cellulitis, Right Foot DEBRIDEMENT AMS/
Station 13
GPA

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