Medical Information of Beneficiary: Benjamin ViloriaHe was admitted as a case of systemic viral infection .
On admission, work ups were done. sespsispathway was activated. he was then started on Caftazidime 2mg/IV, and was then shifted to Ceftriaxone and Azithromycin. Patient complain chest pain. Acute coronary syndrome was considered at dis time. CK-MM were requested and were all within normal values, Aspirin 325mg, Morpain and... Clopidogrel was needed. CBG was also noted elevated.
Patient developed hypotension. he was transfered yo CCU and given 2L of PNSS. patient remained to be hypontensiveand given of 300cc of Voluven.
On 2nd hospital day he was noted to have atrial fibrillation with rapid venticular response. Repeat Troponin T was positive. Repeat ECG showed ST elevation. Magnesium Sulfate drip was needed. Patient developed dyspnea with distended neck veins.
On the 3rd day patient, was noted to be agilated and put to mild sedation. Blood drawn from 2 sites revealed grew Gram-negative and Gram negative diplococci.
He was started on Trimetazidine. IVamiodarone was shifted to oral, with mild cerebral voume loss. Lumdar tap with CSF fluid analysis was done which was unrevealing.
CAP with sepsis was considered at the time Blood works were done Cefriaxone was stepped up to cefepime.
On the 5th hospital day, Blood culture grew Neisseria meningitidis assessment at that time was septic encephalopathy, septic shock secondary to CAP-HR, NSTEMI, AKI, DM. He was intubated and was hooked to mechanical ven tilator. Antibiotics were continued.Glycenic control was rendered.
Patient had an isolated episode of hypontension (85/51). hydration was given in bolus ,levophed was discotinued.
On the 6th hosital day,he had episodes of hypotension and was resuscitated with bolus hydration.He developed pleural effusion ,with radiographic comfirmation .Chest ultarsound showed bilaterial pleural effusion more in the E. Medical management was continued. patiant was continuosly monitored closely.
On the 8th hospital day, diagnostic and therapeutic thoracentesis was done , 450 cc pleural fluid was drained .
On the 9th day ,infectious desaese service b advice Ciprofloxacin prophylaxis to patients relatives.Cardiac evoluation revealed normal sinus rhythm , he was strated on Valsartan .
On the 10th hospital day,he was started on albumin infusion ,followed by diurasis . He was started on isosorbide mononintrate .
He is currently on his 11th day of confinement .
Woking Diagnoses:
Septic encephalopathy vs viral encephalopathy
ARF 2 to CAP HR
AKI on top of CKD 2
to HTN/DM
nephropathy &
obstructive
uropathy
Hypertension stage II
diabetes mellitus
benign prostatic hyperplasia
atrial fibrillation w/rapid vertriccular response,resolved
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Contact:
Jasper Maiquez
0917-559-6763
James Reyes
0917-578-3388
Bong Abasolo
0915-796-0636
Etimated budget:
transpo roundtrip alabang-lobo, batangas : 250-300 dpende sa dami ng sasama
T-shirt: 250
food : 150 "viands lng" kung nde tayo mag self contain
sidetrip : 200 dpende pa rin sa resort n makukuha
reg fee sa mt. banoi : 20
Total estimate budget: 920php
mababawasan to depende sa participant and kung makakakuha tayo ng mura sidetrip n beach doon... thanks...
Things to Bring
Flashlight/Headlamp
Mess Kit (spoon, fork, small plate or lunch box)
Raincoat/Poncho
Jacket/Sweatshirt
Clothes for overnight stay
Sleeping Bags/Blankets
Trail Food (Biscuits, candies, chocolates, etc)
1/2 kilo rice
2 canned foods
2 noodles
Trail Water 1 liter up and 1 liter down, camp water 2 liters will be collected in campsite
Sandals/Slippers
Trash Bag
1 gsm blue
2 iced tea
“CAMERA”
Group:
Tent
Cook set
Stove
First Aid Kit
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