Mr. Vendetti is a 61 year old man who was admitted to the cardiac surgical service on 0/14/97 for aortic valve replacement, mitral valve replacement. He had an echocardiogram at an outside hospital that demonstrated a dilated left ventricle and an ejection fraction of 55% with moderate aortic stenosis with moderate to severe aortic insufficiency with a peak gradient of 35 millimeters of mercury, mild to moderate mitral stenosis and moderate mitral insufficiency with a mitral valve area of 1.1 cm squared. His cardiac catheterization on 4/21/97 demonstrated a 95% proximal right coronary artery lesion and an ejection fraction of 50%. His past medical history included rheumatic heart disease and hypertension, and he is a former smoker with a twenty pack year history. On admission, he was taking Toprol XL 50 once a day, aspirin once a day, sublingual nitroglycerin and Zocor 50 once a day. He went to the operating room on 5/16/97 where he had a mitral valve replacement with a #31 St. Jude mechanical prosthesis and an aortic valve replacement with a #25 St. Jude mechanical prosthesis and a right internal mammary artery bypass grafting to the right coronary artery. He had no complications and is being discharged on post-op day four without complications, on Lopressor 50 mg twice a day, Lasix 40 mg once a day for two days with potassium, K-Dur tabs 10 mEq once a day for two days with Lasix, Coumadin 5 mg one tab once a day or as directed, restarted for right leg DVT that was discovered post cardiac catheterization and is to be continued for a total of three months. Percocet is one tab q.4h. prn for pain and he is being discharged to the care of Dr. Sterling Goodson.
Has this patient ever been on lopressor
Lasix 40 mg once a day for two days with potassium,