This 79-year-old male was admitted for coronary artery disease and aortic stenosis with a history of hypertension, dyslipidemia, chest radiation, prostate cancer, osteoporosis, and urinary incontinence. A CABG x3 with a LIMA to the LAD, a saphenous vein graft to the PDA, and a saphenous vein graft to the obtuse marginal was done on 10/3/06, while the aortic valve was only found to be mildly stenotic. Postoperatively, he was transferred to the Intensive Care Unit in a stable fashion, and was found to have an inferior lateral ischemia on EKG, which was resolved after cardiac catheterization. He was weaned off pressors and extubated, and started on Lopressor and gentle diuresis. On postoperative day #3, his Norvasc was started and he was transferred to the Step-Down Unit. On postoperative day #4, he was slightly tachycardic with ambulation and his beta-blockers were titrated up, with PA and chest x-ray looking good. He was started on empiric levofloxacin for questionable pneumonia and found suitable for discharge on postoperative day #5, however, he had isolated temperature and his white count was found to be trending and he was hypertensive. A positive blood culture was found from when he had been in the Intensive Care Unit and he was continued on levofloxacin, while he was also started on vancomycin due to left leg cellulitis at the knee. On postoperative day #10, a fluid collection was found above the knee to the mid calf, and he underwent a drainage and irrigation of his left lower extremity saphenous vein donor site. After this procedure, he was transferred back to the Step-Down Unit and was discharged on postoperative day #5.
What medications has the patient ever tried for questionable pneumonia. prevention
He was started on empiric levofloxacin for questionable pneumonia