inloopdischarge planningProblem statement
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Harold Chen

Inpatient

69 · male · MRN-HCHEN69D

COPD exacerbation
Location
Tele 3 Room 61
Admitted
Mar 1, 2025
Length of stay
4 days
Status
in-progress

Vitals

Temperature
36.8 C
Heart rate
84 /min
Respiratory rate
18 /min
SpO2
94 % on room air

Encounter reason

COPD exacerbation

  • COPDactive
  • Former tobacco useactive
  • Hyperlipidemiaactive

Problem list

  • COPD
  • Former tobacco use
  • Hyperlipidemia

Medications

  • prednisone taper
  • albuterol/ipratropium nebs
  • atorvastatin 40 mg daily

Labs (most recent)

WBC
8.6 x10^3/uL
Bicarbonate
27 mmol/L

Clinical note

Subjective: 69M with COPD exacerbation, now back to baseline dyspnea. Objective: SpO2 94% on room air, no accessory muscle use. Assessment/Plan: Weaned off supplemental oxygen; completing steroid taper and inhalers. Ready for discharge with pulmonary follow-up.