32 yr old male with pedal edema,sob

previous admission
http://poreddyjahnavi128.blogspot.com/2021/12/general-medicine.html

12/05/2022
CC: pedal edema,SOB,decreased urine output since 10 days

HOPI:Pt was apparently asymptomatic 10 days back then he developed b/l pedal edema pitting type,SOB ,decreased urine output since 10 days.

PAST ILLNESS:
CKD ON MHD since Nov 2021
S/P DJ STENTING 1 1/2 yr ago
Recurrent UTI

TREATMENT H/O:
K/C/O DM since 1 yr on INSULIN

DIAGNOSIS:
CKD ON MHD
SEPSIS secondary to UTI
HFPEF secondary to CAD-NSTEMI EF-46%

TREATMENT:
1.INJ.LASIX 40 mg IV/BD
2.INJ.PIPTAZ 4.5g STAT-2.25 g BD
3.INJ.PAN 40mg IV/OD
4.INJ.IRON SUCROSE 1AMP IN 100 ml NS
5.INJ.NODOSIS 500mg PO/OD
6.CAP.BIO D3 PO/OD
7.T.OTOFER XT PO/OD
8.T.ECOSPRIN 180 mg PO/HS
9.T.CLOPI 75 mg PO/HS
10.SALT(<2g) FLUID(<2.5 lts)
12.T.MET XL PO/OD
1 pack of PRBS was transfused on 14/05/2022
Dialysis was done on 14/05/2022

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