I recently suffered from In Hospital Cardiac arrest roughly…

Hi Doctor, thanks for help this eveningtake your time to review

Thanks for the informationI am not sure about the questions you have asked, I can give you access to my medical reports?From my understanding the cardiac arrest didnt result from any blockages

Well I was in the hospital for 3 weeks and there are many reports over 88 of them that are available to meis there a specific report i should upload?Sunrise Hospital and Medical Center (COCSZ)
Hospitalist Progress Note
REPORT#:0425-1808 REPORT STATUS: Signed
DATE:04/25/21 TIME: 1738PATIENT: SENFT,RYAN UNIT #: D002701828
ACCOUNT#: D00124603730 ROOM/BED: D.4512-0
DOB: 12/14/93 AGE: 27 SEX: M ATTEND: Khan,Muhammad Qasim MD
ADM DT: 04/07/21 AUTHOR: Khan,Muhammad Qasim MD
REP SRV DT: 04/25/21 REP SRV TM: 1738
* ALL edits or amendments must be made on the electronic/computer document *ObjectiveGeneral
VS/I O:
Vital Signs
Date Temp Pulse Resp B/P B/P Mean Pulse Ox FiO2
04/24-04/25 97.3-97.7 94-128 18-20 108-120/49-74 71.7-89.2 94-96Vital Signs:
Date Time Temp Pulse Resp B/P B/P Pulse O2 O2 Flow FiO2
Mean Ox Delivery Rate
04/25 1442 97.7 128 20 116/49 71.7 94
04/25 0800 97.3 94 18 120/74 89.2 96
04/25 0210 97.7 98 18 116/63 80 94
04/24 1938 97.3 94 18 108/68 81.1 95 Room air24 hour I O ending at 0700:
04/25 0700 04/24 1900
Intake Total 1080 360
Output Total 1180
Balance -100 360Intake, Oral 1080 360
Output, Urine 1180Medications:
Active Meds + DC'd Last 24 Hrs
Ziprasidone 20 MG BID PRN PRN IM
Sterile Water 1 ML
Syringe 1 ML
Quetiapine Fumarate 100 MG BID PO
Diazepam 5 MG Q8H PO
Lactulose 20 GM BID PO
Metoprolol Tartrate 2.5 MG Q6H PRN PRN IV
Folic Acid 1 MG DAILY PO
Thiamine HCl 100 MG DAILY PO
Clonidine HCl 0.1 MG BID PO
Diphenhydramine HCl 25 MG Q6H PRN PRN PO
Hydrocortisone 1 APPLIC DAILY TOPICAL
Sodium Chloride 10 ML Q12HR IV
Sodium Chloride 10 ML PRN PRN IV
Enoxaparin Sodium 40 MG DAILY.LOV SUBQ
Nystatin 1 APPLIC BID TOPICAL
Lorazepam 4 MG Q1H PRN PRN IV
Haloperidol Lactate 5 MG Q6H PRN PRN IV
Senna 1 TAB BID OG
White Petrol/Mineral Oil/Lanolin 1 APPLIC BID PRN PRN OP
Dextrose 1 TUBE PRN PRN PO (CKD)
Dextrose/Water PER PROTOCOL
PRN PRN IV
Magnesium Oxide 800 MG .Q12H X 2 DOSES PRN PO
Magnesium Oxide 400 MG .Q12H X 2 DOSES PRN PO
Magnesium Sulfate 50 ML PRN PRN IV
Magnesium Sulfate/Dextrose 100 ML PRN PRN IV
Phosphorus 500 MG .Q4H X 3 DOSES PRN PO
Potassium Bicarbonate/Citric Acid 25 MEQ PRN PRN PO
Potassium Chloride 100 ML PRN PRN IV
Potassium Phosphate 40 MM PRN PRN IV (CKD)
Sodium Chloride 500 ML
Potassium Phosphate 20 MM PRN PRN IV (CKD)
Sodium Chloride 250 ML
Sodium Biphosphate 40 MM PRN PRN IV (CKD)
Sodium Chloride 100 ML
Sodium Biphosphate 20 MM PRN PRN IV (CKD)
Sodium Chloride 100 ML
Lorazepam 2 MG Q15M PRN PRN IVPhysical Exam
Head/Eyes: atraumatic, normocephalic
ENT: dry mucosal membrane
Neck: full range of motion
Cardiovascular: normal heart sounds, regular rate rhythm
Respiratory: decreased breath sounds
Abdomen: obese, non-tender, normal bowel sounds, soft
Genitourinary: no foley
Rectal: deferred
Extremities: normal capillary refill, + tremors
Musculoskeletal: normal inspection
Neuro/CNS: alert, oriented X 3, normal speech, no motor deficits
Skin: dry, intact, no rash
Psychiatry: normal affect, normal moodResults
Findings/Data:
Laboratory Tests
04/25
0236
Chemistry
Sodium (136 - 145 mmol/L) 136
Potassium (3.5 - 5.1 mmol/L) 3.6
Chloride (98 - 107 mmol/L) 103
Carbon Dioxide (21 - 32 mmol/L) 26
Anion Gap (5 - 16 mmol/L) 7
BUN (7 - 18 mg/dL) 12
Creatinine (0.67 - 1.17 mg/dL) 0.68
Est GFR (Non-Af Amer) (>60 ml/min) >60
Glucose (74 - 106 mg/dL) 89
Calcium (8.5 - 10.1 mg/dL) 9.2Diagnosis, Assessment PlanFree Text DxA P Notes
Free text DxA P notes:
The patient is 27 y/o male, presented to ED reporting he tested positive for
covid and was feeling bad and having trouble breathing. Per report became
increasingly agitated, was given several meds and then was placed in the
behavioral unit; while there, reportedly persistently agitated, was being held
down by security, he was then later found unresponsive and cyanotic; was
resuscitated after acls, intubated by ED physician27 yo M, presented to ED reporting he tested positive for covid and was feeling
bad and having trouble breathing; became increasingly agitated, was given
several meds and then was placed in the behavioral unit; while there, reportedly
persistently agitated, was being held down by security. he was then later found
unresponsive and cyanotic; was resuscitated after acls, intubated by ED
physician. reported moved everything and was started on propofol and fentanyl;
when sedation is paused, had random movements, some jerks especially with
stimulation
did not follow commands, +cough
unknown pmh-- multiple ED visits for non-specific complaints
reported alcohol useFLU antigen COVID PCR test was negative in SRHA/P:
Acute hypoxic resp failure post cardiac arrest / pneumonia
-extubated, OFF HFNC, doing well on RA
-cxr with persistent bibasilar infiltrates, monitor prn
-completed unasyn x 7 days
-increase activity, encourage ISToxic encephalopathy
Alcohol/Benzo dependence/withdrawal
Alcohol abuse - Per Dad for last 4 montsh significantly worse, tried rehab twice
but relapsed
h/o Anxiety and Depression - Per dad - self medicates with Xanax
- precedex gtt OFF
- on seroquel; clonidine, valium; PRN geodon
- CT brain neg for bleed
- EEG--severe diffuse encephalopathy, no epileptiform focus,
- OFF keppra, EEG neg
- thiamine/folate
- UDS---Benzo positive, Alcohol level was 73 on admitPEA Cardiac arrest
unknown cause
-echo: EF 55/60%---NL otherwise
-CTA --no PE
-Trop Nl
-likely due to intoxication.
-cards followingTransaminitis
due to alcohol abuse
-LFTs elevated, downtrending.Debility/tremors
-pt with tremors to BUE, weakness to BLE
-requesting wheelchair to go home with, willing to pay out of pocket.
-pt states he is ambulating with walker with PT.DVt ppx: On lovenox
GI ppx: FamotidineNOK - Father - Robert in Chicago,(###) ###-####dispo: dep upon improvement in mental status
spoke with father, px wants to go back to beverly hills, but still unsafe
at present no ins coverage for acute rehab thus has to stay in the hospoital
until
mental status and function improves
- placed on medical hold for px safetyElectronically Signed by Khan,Muhammad Qasim MD on 04/25/21 at 1739
RPT #: 0425-1808
***END OF REPORT***That is the last report that was uploadedhere is the first report uploaded the night of my CASunrise Hospital and Medical Center (COCSZ)
Cardiology Consultation
REPORT#:0407-0921 REPORT STATUS: Signed
DATE:04/07/21 TIME: 1004PATIENT: SENFT,RYAN UNIT #: D002701828
ACCOUNT#: D00124603730 ROOM/BED: D.4512-0
DOB: 12/14/93 AGE: 27 SEX: M ATTEND: Khan,Muhammad Qasim MD
ADM DT: 04/07/21 AUTHOR: Santiago,Amy D APRN
REP SRV DT: 04/07/21 REP SRV TM: 1004
* ALL edits or amendments must be made on the electronic/computer document *Santiago,Amy D. 04/07/21 1004:
History of Present IllnessHPI
Requesting Clinician: Anthony L, NP
Reason for consult:
cardiac arrest
Chief complaint:
shortness of breath
HPI:
27 y/o white male, with reported hx of substance and alcohol abuse, psychiatric
disorder, presents to ER at 2353 last night, complaining of shortness of breath
and + covid-19 test. Inpt covid-19 test was negative. He recently got out of
jail per ER report. Pt transferred to behavioral unit where he became severely
agitated. He was given Lorazepam 2 mg, Benadryl 50mg IV, Zofran 8mg at 0046. He
continued to be agitated and became violent to staff and other patients. He was
given Lorazepam 2mg, Benadryl 50mg IV, Ziprasidone 20mg at 0147-0150. Pt was
found unresponsive and cyanotic and CPR initiated at 0156 with ROSC at 0200. As
per code blue record, pt was on asystole, received 1 dose of Epinephrine and
CPR. CT brain was negative Pt started on HACA protocol. He is currently
intubated, bedside EEG in progress. He is on propofol and fentanyl. SR on
telemetry, not on pressors. BP 146/64. Troponin negative x 1. EKG reviewed, post
code showed ST with PAC's at 137 bpm, likely due to epinephrine.History - Adult longitudinal
Past medical history:
Reports: Alcoholism/subst abuse.
Additional medical history:
EtOH abuse
Additional surgical history:
None reported
Alcohol use: History of
Drug use: Drug use
Smoking status:
Smoking status for patients 13 years old or older: Never Smoker
Allergies:
Coded Allergies:
No Known Allergies (03/27/21)Review of Systems
Unable to obtain due to:
AMSObjectiveGeneral
VS/I O:
Vital Signs:
Date Time Temp Pulse Resp B/P B/P Pulse O2 O2 Flow FiO2
Mean Ox Delivery Rate
04/07 0806 100 Ventilator 50
04/07 0806 93 100 50
04/07 0703 38.0 104 20 146/64 91 100
04/07 0627 104 20 146/64 91 100
04/07 0615 105 20 142/65 90 100
04/07 0609 107 20 132/69 90 100
04/07 0600 38.0 109 19 123/57 79 100
04/07 0555 100 Ventilator 0 60
04/07 0555 109 100 60
04/07 0536 107 20 121/63 82 100
04/07 0535 38.2 111 24 122/59 80 100
04/07 0437 131 28 160/70 100 100
04/07 0418 108 28 184/77 112 97
04/07 0412 106 20 120/64 82 100
04/07 0355 109 20 118/58 78 100
04/07 0330 114 20 112/53 72 100
04/07 0324 117 20 114/58 76 100
04/07 0318 119 20 132/58 82 100
04/07 0312 123 20 115/55 75 100
04/07 0307 129 21 128/64 85 100
04/07 0302 123 20 111/52 71 99
04/07 0254 133 25 104/56 72 100
04/07 0224 153 25 134/59 84 100
04/07 0213 136 96 100
04/07 0207 36.6 156 15 147/65 92 100 Ventilator
04/06 2354 36.9 140 18 135/84 101 96 Room air24 hour I O ending at 0700:
04/07 0700 04/06 1900
Intake Total
Output Total
BalancePatient 109.091 kg
Weight
Weight Stated/Reported
Measurement
MethodMedications:
Active Meds + DC'd Last 24 Hrs
Sodium Chloride 1,000 ML .Q10H IV
Mupirocin 1 APPLIC BID NASAL
Thiamine HCl 100 MG DAILY IV
Folic Acid 1 MG
Sodium Chloride 50 ML
Vecuronium Bromide 100 ML TITRATE IV (CKD)
Acetaminophen 650 MG X1ED STA RC (DC)
Ampicillin Sodium/Sulbactam Sodium 3,000 MG Q6HR IV
Sodium Chloride 100 ML
Famotidine 20 MG Q12HR IV
Heparin Sodium (Porcine) 5,000 UNIT [email protected],1800 SUBQ
Levetiracetam 1,000 MG [email protected] IV (DC)
Magnesium Oxide 800 MG .Q12H X 2 DOSES PRN PO
Magnesium Oxide 400 MG .Q12H X 2 DOSES PRN PO
Magnesium Sulfate 50 ML PRN PRN IV
Magnesium Sulfate/Dextrose 100 ML PRN PRN IV
Phosphorus 500 MG .Q4H X 3 DOSES PRN PO
Potassium Bicarbonate/Citric Acid 25 MEQ PRN PRN PO
Potassium Chloride 100 ML PRN PRN IV
Potassium Phosphate 40 MM PRN PRN IV (CKD)
Sodium Chloride 500 ML
Potassium Phosphate 20 MM PRN PRN IV (CKD)
Sodium Chloride 250 ML
Sodium Biphosphate 40 MM PRN PRN IV (CKD)
Sodium Chloride 100 ML
Sodium Biphosphate 20 MM PRN PRN IV (CKD)
Sodium Chloride 100 ML
Lactated Ringer's 1,000 ML BOLUS STA IV (DC)
Lactated Ringer's 1,000 ML BOLUS STA IV (DC)
Acetaminophen 650 MG PROTOCOL Q4H PRN NG
Buspirone HCl 30 MG PROTOCOL Q8H PRN NG
Fentanyl 250 ML PROTOCOL IV
Fentanyl Citrate 220 MCG PROTOCOL IV (DC)
Lorazepam 2 MG Q15M PRN PRN IV
Lorazepam 2 MG PROTOCOL IV (DC)
Magnesium Sulfate 50 ML PROTOCOL PRN IV
Magnesium Sulfate 500 ML PROTOCOL IV (CKD)
Midazolam HCl 100 ML ASDIR IV
Propofol 100 ML ASDIR IV (CKD)
Sodium Chloride 1,000 ML .Q6H40M IV (DC)
Sodium Chloride 500 ML PROTOCOL PRN IV
Vecuronium Bromide 10 MG PROTOCOL PRN IV
Ceftriaxone Sodium 2 GM X1ED STA IV (DC)
Iopamidol 0 .STK-MED ONE IV (DC)
Iopamidol 80 ML PROTOCOL PRN IV (DC)
Iopamidol 80 ML PROTOCOL PRN IV (DC)
Sodium Chloride 120 ML PROCEDURE PRN IV (DC)
Sodium Chloride 80 ML PROCEDURE PRN IV (DC)
Diphenhydramine HCl 50 MG X1ED STA IM (DC)
Propofol 100 ML TITRATE IV (DC)
Azithromycin 500 MG X1ED STA IV (DC)
Sodium Chloride 250 ML
Fentanyl 250 ML TITRATE IV (DC)
Sodium Chloride 3,272.73 ML BOLUS STA IV (DC)
Sodium Chloride 1,000 ML BOLUS STA IV (DC)
Diphenhydramine HCl 50 MG X1ED STA IV (DC)
Lorazepam 2 MG X1ED STA IM (DC)
Ziprasidone 20 MG X1ED STA IM (DC)
Diphenhydramine HCl 50 MG X1ED STA IV (DC)
Ondansetron HCl 8 MG X1ED STA IV (DC)
Sodium Chloride 1,000 ML X1ED STA IV (DC)
Acetaminophen 1,000 MG Q8H PRN PRN PO
Lorazepam 2 MG Q1H PRN PRN PO (DC)
Lorazepam 2 MG Q1H PRN PRN IV (DC)
Lorazepam 2 MG Q1H PRN PRN IM (DC)
Ondansetron HCl 4 MG Q4H PRN PRN POPhysical Exam
General appearance: altered mental state, respiratory support, sedated
Cardiovascular:
CV assessment: normal heart sounds, normal rate reg rhythm
Respiratory: decreased breath sounds, on vent
Abdomen: soft
Genitourinary: foley
Upper extremity:
UE assessment: no edema
Lower extremity:
LE assessment: no edema
Neuro/CNS: sedated
Skin: dryResults
Findings/Data:
Laboratory Tests
04/07
0655
Blood Gas
Bld Gas Collect Time 647
Puncture Site ARTERIAL, RIGHT
pH (7.350 - 7.450) 7.437
pCO2 (32 - 43 mmHg) 35.1
pO2 (>70 mmHg) 181.0
HCO3 (20.0 - 28.0 mmol/L) 23.7
Base Excess (mmol/L) -0.1
ABG Oxyhemoglobin (>92 %) 98.9
Carboxyhemoglobin (0 - 2.4 %) 0.9
Methemoglobin (0 - 0.9 %) 0.4
Respiration Rate 20
Set Respiration Rate 20.0
FiO2 60
Tidal Volume (ML) 500
Mean Airway Pressure 9
PEEP (CmH2OP) 5
Inspiratory Pressure (CMH2OP) 21
Operator ID 68420
Blood Gas Comments Passed04/07
0030
Blood Gas
Bld Gas Collect Time 305
Puncture Site BRACHIAL, LEFT
pH (7.350 - 7.450) 7.210 *L
pCO2 (32 - 43 mmHg) 38.1
pO2 (>70 mmHg) 339.0
HCO3 (20.0 - 28.0 mmol/L) 15.2 L
Base Excess (mmol/L) -11.9
ABG Oxyhemoglobin (>92 %) 98.7
Carboxyhemoglobin (0 - 2.4 %) 0.7
Methemoglobin (0 - 0.9 %) 0.7
Respiration Rate 20
Set Respiration Rate 20.0
FiO2 100
Tidal Volume (ML) 500
PEEP (CmH2OP) 5
Operator ID DRTSH
Blood Gas Comments NA (Not Done)
Blood Gas Notified Whom A. LOVINGER, MD
Blood Gas Notified Time 04/07/21 03:08
Blood Gas Notified By SHagedornLaboratory Tests
04/07 04/07 04/07 04/07 04/07
0619 0619 0411 0205 0030
Chemistry
Sodium (136 - 145 mmol/L) 129 L
Potassium (3.5 - 5.1 mmol/L) 3.0 *L
Chloride (98 - 107 mmol/L) 99
Carbon Dioxide (21 - 32 mmol/L) 25
Anion Gap (5 - 16 mmol/L) 5
BUN (7 - 18 mg/dL) 10
Creatinine (0.67 - 1.17 mg/dL) 0.72
Est GFR (Non-Af Amer) (>60 ml/min) >60
Glucose (74 - 106 mg/dL) 112 H
POC Glucose (70 - 139 MG/DL) 176 H
Lactic Acid (0.4 - 2.0 mmol/L) 9.0 *H
POC Lactic Acid Ven (0.5 - 2.2 11.4 *H
MMOL/L)
Lactic Acid Fup @ 2Hr (0.4 - 2.0 3.6 H
mmol/L)
Calcium (8.5 - 10.1 mg/dL) 7.0 L
Phosphorus (2.5 - 4.9 mg/dL) 2.0 L
Magnesium (1.6 - 2.6 mg/dL) 1.9
Total Bilirubin (0.1 - 1.0 mg/dL) 1.4 H
AST (10 - 41 U/L) 321 H
ALT (16 - 61 U/L) 246 H
Total Alk Phosphatase (45 - 117 U/L) 62
Total Protein (6.4 - 8.2 g/dL) 5.2 L
Albumin (3.1 - 4.8 g/dL) 2.8 L
Albumin/Globulin Ratio (0.9 - 1.9) 1.204/07
0020
Chemistry
Sodium (136 - 145 mmol/L) 135 L
Potassium (3.5 - 5.1 mmol/L) 3.1 L
Chloride (98 - 107 mmol/L) 100
Carbon Dioxide (21 - 32 mmol/L) 27
Anion Gap (5 - 16 mmol/L) 8
BUN (7 - 18 mg/dL) 14
Creatinine (0.67 - 1.17 mg/dL) 0.76
Est GFR (Non-Af Amer) (>60 ml/min) >60
Glucose (74 - 106 mg/dL) 115 H
Calcium (8.5 - 10.1 mg/dL) 9.0Laboratory Tests
04/07
0619
Coagulation
PT (9.0 - 12.0 SECONDS) 12.1 H
INR (0.9 - 1.2) 1.1
APTT (23 - 35 SECONDS) 21 LLaboratory Tests
04/07 04/07
0619 0020
Hematology
WBC (4.8 - 10.8 K/MM3) 4.9 5.9
RBC (4.50 - 6.20 M/MM3) 3.68 L 4.83
Hgb (14.0 - 18.0 G/DL) 12.6 L 15.0
Hct (42.0 - 52.0 %) 33.5 L 43.8
MCV (80 - 100 FL) 91 91
MCH (27.0 - 32.0 PG) 34.2 H 31.1
MCHC (32.0 - 37.0 G/DL) 37.6 H 34.2
RDW (11.5 - 14.5 %) 16.5 H 16.1 H
Plt Count (150 - 450 K/MM3) 99 L 121 L
MPV (9.6 - 12.0 FL) 11.0 10.9
Neut % (Auto) (45.0 - 75.0) 57.4
Neut # (Auto) (1.8 - 7.7 K/MM3) 3.4
Lymph # (Auto) (1.0 - 4.8 K/MM3) 1.6
Mono # (Auto) (0.2 - 1.0 K/MM3) 0.8
Eos # (Auto) (0.0 - 0.5 K/MM3) 0.0
Baso # (Auto) (0.0 - 0.2 K/MM3) 0.1
Immature Gran # (Auto) (0.01 - 0.02 K/MM3) 0.02
Absolute Nucleated RBC (0 - 0 K/MM3) 0.00 0.00
Immature Gran % (0.1 - 0.3) 0.3
Lymphocytes % (15.0 - 45.0) 27.6
Monocytes % (4.0 - 12.0) 13.4 H
Eosinophils % (0.0 - 4.0) 0.5
Basophils % (0.0 - 2.0) 0.8
Nucleated RBCs/100 WBC (0 /100WBCS) 0 0Laboratory Tests
04/07 04/06
0619 2355
Serology
COVID-19 Eval Order CRITERIA MET
HIV 1 2 Ag/Ab, 4th Gen (NON - REACTIV) NON REACTIVELaboratory Tests
04/07 04/07
0333 0020
Toxicology
Urine Opiates Screen NONE DETECTED
Ur Barbiturates Screen NONE DETECTED
Ur Phencyclidine Scrn NONE DETECTED
Ur Amphetamines Screen NONE DETECTED
U Benzodiazepines Scrn POSITIVE
Urine Cocaine Screen NONE DETECTED
U Cannabinoids Screen NONE DETECTED
Drug Screen Comment SEE COMMENT
Ur Toxicology Screen (NEGATIVE) POSITIVE *
Plasma/Serum Alcohol (NONE DETECTED mg/dL) 73 HLaboratory Tests
04/07
0333
Urines
Urine Color (YELLOW) YELLOW
Urine Appearance (CLEAR) CLEAR
Urine pH (5 - 9) 6.0
Ur Specific Gravity (1.003 - 1.030) 1.037 H
Urine Protein (NEGATIVE MG/DL) >=300 *
Urine Ketones (NEGATIVE MG/DL) 15 *
Urine Blood (NEGATIVE) LARGE *
Urine Nitrite (NEGATIVE) NEGATIVE
Urine Bilirubin (NEGATIVE) NEGATIVE
Urine Urobilinogen (NORMAL E.U./DL) NORMAL
Ur Leukocyte Esterase (NEGATIVE) NEGATIVE
Urine RBC (0 - 4 /HPF) 4-10 *
Urine WBC (0 - 5 /HPF) 5-10 *
Ur Epithelial Cells (0 - 5 /HPF) 5-10 *
Renal/Transitional Epis (NONE SEEN /LPF) NONE SEEN
Urine Crystals (NONE SEEN) NONE SEEN
Urine Bacteria (NONE SEEN) NONE SEEN
Urine Casts (0 - 5 HYALINE /LPF) 0-5 HYALINE CASTS
Pathogenic Casts (NONE SEEN /LPF) NONE SEEN
Urine Yeast (NONE SEEN) NONE SEEN
Urine Glucose (NEGATIVE MG/DL) 100Microbiology
Date/Time Procedure - Status
Source Growth
04/07 0020 SARS-CoV-2 by PCR (MIC) - COMP
NASOPHARG
04/07 0020 Influenza Type B (PCR) - COMP
NASOPHARG
04/07 0020 Influenza Type A (PCR) - COMP
NASOPHARGLaboratory Tests
04/07
0619
Chemistry
Magnesium (1.6 - 2.6 mg/dL) 1.9Laboratory Tests
04/07
0619
Coagulation
APTT (23 - 35 SECONDS) 21 LRadiology data:
Recent Impressions:
RADIOLOGY - XR CHEST AP PORTABLE 04/07 0213
*** Report Impression - Status: SIGNED Entered: 04/07/2021 0306IMPRESSION:1. There has been interval placement of an endotracheal tube with the
tip superimposing the mid thoracic trachea, approximately 4 cm above
the carina.
2. No focal consolidation is seen.
3. No significant pneumothorax or pleural effusion is identified.
4. The cardiomediastinal silhouette is normal.
Impression By: DR.SHAAL1 - Ali Sharif M.D.
COMPUTED TOMOGRAPHY - CT ANGIO CHEST W/CONT FOR PE 04/07 0230
*** Report Impression - Status: SIGNED Entered: 04/07/2021 0402IMPRESSION:
1. No definite CT evidence of pulmonary embolism.
2. Bibasilar atelectasis. Superimposed pneumonia not
excluded.
Impression By: DR.YBAAL - Albert Ybasco, M.D.
COMPUTED TOMOGRAPHY - CT BRAIN W/O CONTRAST 04/07 0230
*** Report Impression - Status: SIGNED Entered: 04/07/2021 0340IMPRESSION:
1. No evidence of acute intracranial hemorrhage, midline shift, or
significant mass effect.END IMPRESSION:
Impression By: DR.SHAAL1 - Ali Sharif M.D.
COMPUTED TOMOGRAPHY - CT ABDOMEN PELVIS W/ IV CONT 04/07 0230
*** Report Impression - Status: SIGNED Entered: 04/07/2021 0407IMPRESSION:
Hepatosplenomegaly.
Impression By: DR.YBAAL - Albert Ybasco, M.D.Diagnosis, Assessment Plan
Free Text A P:
Impressions:
- PEA vs asystole cardiac arrest likely respiratory arrest
- on HACA protocol
- s/p CPR, epinephrine x 1 dose with ROSC < 5 mins
- CTA chest - no PE
- Shortness of breath
- hx of + covid-19 - negative inpt
- Tachycardia - resolved
- Acute hypoxic respiratory failure
- Toxic encephalopathy
- CT brain - non-acute
- Alcohol intoxication
- Hypokalemia
- Thrombocytopenia
- Lactic acidosis - ? aspiration PNA
- Hyponatremia
- Hepatosplenomegaly
- Hx of substance abuseRecommendations:
- icu care
- cardiac monitoring
- daily ekg
- serial troponin
- follow echo
- ASA, statin
- optimize medical therapy
- no IV heparin 2' thrombocytopenia
- Keep K+ >4 and Mg++ > 2
- management as per critical care team.Plan discussed with: nurse, DR.PANWARPanwar,Sadik 05/11/21 2305:
AttestationsPhysician Attestation
Agree w/findings plan:
Patient seen and examined by me and Amy Santiago. Agree with the findings and
plan as documented by Amy Santiago.Electronically Signed by Santiago,Amy D APRN on 04/08/21 at 1413
Electronically Signed by Panwar,Sadik R. M.D. on 05/11/21 at 2305
RPT #: 0407-0921
***END OF REPORT***Do the above reports help give you some clarity?

Okay thanks, ***** ***** your time

That is great information and thank you so much for reading through all of thatSUNRISE HOSPITAL AND MEDICAL CENTER
SUNRISE CHILDREN'S HOSPITAL
3186 S MARYLAND PARKWAY
LAS VEGAS, NV 89109REPORT NAME: DISCHARGE SUMMARYPATIENT'S NAME: SENFT,RYAN UNIT NO: D002701828
DOB: 12/14/93 AGE: 27 ACCOUNT NO: D00124603730
ATTENDING PHYS: Khan,Muhammad Qasim MD PT TYPE: DIS IN
ADMISSION DATE: 04/07/21 LOCATION: D.E4
DISCHARGE DATE:04/25/21DISCHARGE DATE: 04/25/2021CHIEF COMPLAINT:
Cardiac arrest.DISCHARGE DIAGNOSES:
1. Alcohol intoxication.
2. Cardiac arrest.
3. Substance abuse.
4. Obesity.
5. Dehydration.
6. Sinus tachycardia.
7. Alcohol withdrawal.
8. Critical illness myopathy.
9. Critical illness neuropathy.
10. Gait ataxia.CONSULTATIONS:
ICU team took care of the patient on admission.IMAGING STUDIES:
Brain CAT scan, impression, no evidence of acute intracranial hemorrhage,
midline shift, or mass lesion.CAT scan of the chest, impression, no evidence of pulmonary embolism, bibasilar
atelectasis.CAT scan of the abdomen and pelvis, impression, hepatosplenomegaly.Chest x-ray: The patient was intubated during the first few days of the
hospitalization. Endotracheal tube position was reported to be projected 4.6
cm above the carina.Microbiology: COVID test was negative. Blood cultures were negative.HOSPITAL COURSE:
This pleasant 27-year-old gentleman who presented to the intensive care unit
with cardiac arrest. The patient was intubated and placed on the mechanical
ventilator and was attended by Critical Care Team, Neurology Team, Cardiology
Team. The patient's echocardiogram showed the patient's ejection fraction wasPATIENT NAME: SENFT,RYAN ACCOUNT #: D0012460373055% to 60%. No diagnostic regional wall motion abnormality was identified.
Mitral valve, there was mild regurgitation. Tricuspid valve, mild
regurgitation. Pericardium, there was no pericardial effusion. The hospital
course comprised of patient managed with a team approach by Cardiology,
Pulmonary Critical Care, Internal Medicine, and Neurology; and the patient
finally was extubated and downgraded to the medical floor. On the medical
floor, the patient remained weak in his lower extremities and also upper
extremities, and his gait remained unsteady. Today, I examined the patient on
the day of self-discharge, and he was quite unsteady, so I advised him to stay
and complete his physical therapy; however, he had a personal reason to do the
self-discharge. The patient was alert and oriented in time, place, and person,
and wanted to exercise his legal right to sign AMA. The patient was explained
the risk of signing against medical advice, which included fall, accident,
cardiac arrest, etc., and he accepted all the risks associated with
self-discharge. The patient's nurse witnessed my conversation with the
patient.Dictated By: Muhammad Qasim Khan, MDMK:MODL
D: 04/25/2021 18:48:33 / T: 04/25/2021 20:58:42
Voice ID: 666641 / Job ID:###-##-####Authenticated by Muhammad Qasim Khan MD On 04/29/2021 12:32:16 AMReport ID: 0426-0049Electronically Signed by Muhammad Qasim Khan, MD on 04/28/21 at 2232Above is the "Discharge Summary"I AMA'd from the hospital because I generally felt like I was good enough to leave, however looking back I wish I had listened and stayed a couple days longer. When I left the Hospital I went to a rehab facility and spent 2 weeks there receiving further care.

Thank you Doctor for your time and very thoughtful notes and advice. I will keep everything in mind going forward, I wish you all the bestThanks