This is a 42 year old female nurse with morbid obesity who was admitted on 0/25/95 due to concern for her being at high risk of skin breakdown and infection. A panniculectomy was performed by Dr. Stanczyk without any complications. During the hospital course, the patient was treated with MEDICATIONS: Paxil, 60 mg P O q AM; Diabeta, 5 mg P O q AM; Trazadone, 100 mg q h.s.; Ultram, 100 mg q 4-6 hours prn; Reglan, 10 mg q 6 hours prn nausea; Bactroban ointment b.i.d.; Lotrisone cream b.i.d. topically; Afrin nasal spray q 12 hours PRN; Proventil inhalers, two puffs PRN; IV Ancef t.i.d.; Hibiclenz showers and sub-q Heparin. Preoperatively, her pulmonary function was assessed and found to have an FEV-1 of 53% of predicted; FVC of 57% of predicted and an FEV-1/FVC of 93% of predicted. Postoperatively, the patient was transferred to the ICU and received two (2) units of autologous red blood cells and two (2) units of blood with a hematocrit reaching 29%. On postoperative day five, two of the four Jackson-Pratt drains were removed and the patient was discharged in good condition on postoperative day six with plans for home visiting nurse for dressing changes daily and P O Keflex while two Jackson-Pratt drains were in. The patient was prescribed DISCHARGE MEDICATIONS: 1) Keflex, 500 mg P O q.i.d.; 2) Percocet one to two P O q 4 hours prn pain; 3) Lotrisone topically, TP b.i.d.; 4) Paxil, 60 mg P O q AM; 5) Azmacort, four puffs inhaled q.i.d.; 6) Bactroban topically TP b.i.d.; 7) Diabeta, 5 mg P O q AM; 8) Ferrous Sulfate, 300 mg P O t.i.d.; 9) Proventil inhaler, two puffs inhaled q.i.d. for follow-up in outpatient clinic with Dr. Bartles in one (1) week.
Has the patient ever tried autologous red blood cells
the patient was transferred to the ICU and received two (2) units of autologous red blood cells and two (2) units of blood with a hematocrit reaching 29%.