This 70-year-old female with CHF, coronary artery disease, diabetes, peripheral vascular disease, and chronic renal insufficiency was admitted on 0/5/06 for weakness and confusion. Her hospital course was complicated by worsening cardiac function with minimal improvement on milrinone and decreasing urine output despite diuretics and also gross gastrointestinal bleeding with melanotic stool while she was on Coumadin for atrial fibrillation. In addition, there was concern for sepsis and she was placed on antibiotics with levofloxacin, Flagyl, and vancomycin. She required a transfer to the Cardiac Care Unit on 9/15/06 for further medical therapy for poor cardiac output, a possible need for CVVH, given volume overload in the setting of renal failure, and work-up of GIB. Her code status was DNR/DNI, but was changed to comfort measures only on 1/17/06 due to a large ascending colorectal mass with ulcerations. Being CMO status, she was removed of all pressors and antibiotics and made comfortable sedated on fentanyl and Versed. She was then extubated for comfort with family present and had agonal breathing with episodes of apnea and was given additional sedation for comfort. The patient drew her last breath at 2:20 p.m. with family present and was pronounced dead at 2:20 p.m. on 1/17/06. Family declined autopsy.
Has the patient ever had versed
fentanyl and Versed. She was then extubated for comfort with family present