CAPD CYCLER DIALYSIS PROGRESS NOTE

question 65

Short Answer

CAPD CYCLER DIALYSIS PROGRESS NOTE
LOCATION: Inpatient, Hospital
PATIENT: Mandy Horton
ATTENDING PHYSICIAN: Ronald Green, MD
This patient was reasonably stable overnight. She was evaluated empty. She was in no cardiorespiratory distress. Clear lungs, dullness at the bases. A few crackles but otherwise a somewhat irregular heart rhythm this morning. Echocardiogram pending. Abdomen soft. Exit site okay. She was going to be put on CAPD today. This is being done to facilitate some of her studies as we can work this around them. CT is planned for this morning. The CT will be a critical study since we do have significantly abnormal liver function and the question is what could be possibly going on there. She has an esophagitis consistent with herpes or CMV, and the situation could turn ominous depending on the CT results. We are also doing a calorie count to see whether or not we need to consider supplementing her if everything else works out.
The dialysis plan today will be to use five 2.5-liter exchanges, three of them being 2.5% and two of them 1.5%. (MDM is moderate complexity.)
CPT Code: ____________________

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Definitions:

Counterproductive Strategies

Behaviors or methods that hinder rather than help achieve a desired outcome or goal.

Self-defeat

Engaging in behaviors or thoughts that inhibit one's own success or well-being.

Emotional Arousal

The condition of experiencing heightened feelings, which can significantly impact mood and behavior.

Masochistic

Pertaining to masochism, where there is a tendency to derive pleasure from one's own pain or humiliation.