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Ate Glenda

This medical record is for 36-year-old female patient Glenda Dimabuyu who has been receiving hemodialysis treatment since December 2009 due to chronic kidney disease from chronic pyelonephritis or obstructive uropathy. Her latest medical examination in April 2018 showed elevated creatinine and low hemoglobin. She is prescribed medications including Epoetin Beta, Regeron Forte, Amlodipine, and CaCo3. The treatment plan is for her to continue twice weekly hemodialysis at the hospital.
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0% found this document useful (0 votes)
752 views3 pages

Ate Glenda

This medical record is for 36-year-old female patient Glenda Dimabuyu who has been receiving hemodialysis treatment since December 2009 due to chronic kidney disease from chronic pyelonephritis or obstructive uropathy. Her latest medical examination in April 2018 showed elevated creatinine and low hemoglobin. She is prescribed medications including Epoetin Beta, Regeron Forte, Amlodipine, and CaCo3. The treatment plan is for her to continue twice weekly hemodialysis at the hospital.
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M E D I CAL AB STRACT

Patient`s Name: Dimabuyu, Glenda y Manalo Age: 36y/o Sex: Female


First HD Treatment in PMSH: Dec 15, 2009
Address: Purok 2, Planas Porac, Pampanga

Medical History
She was known case of Chronic Kidney Disease Physical Examination:2º to Chronic
Pyelonephritis vs Obsructive Urophathy, Underwent emergency dialiys in this institution due
to pulmonary edema and severe dyspnea.

Pysical Examination:
BP 160/80 mmHg. HEENT. Pale palp conjuctiva
CR. 78 bpm. CHEST/LUNGS. (+) Crackels (minimal)
RR. 19 bpm. ABDOMEN. (-) ascites
Temp 36.7°C. EXTREMITIES. Edema

Laboratory: April 6, 2018


Creatinine 11.63 Hemoglobin 93 Segmenters 0.70
Sodium 135 Hematocrit 0.26 Platelet 241
Potassium 5.997 WBC 7.8

Medication:
** ** See Treatment Protocol sheet

Final Diagnosis:
Kidney Disease Physical Examination:2º to Chronic Pyelonephritis vs Obsructive
Urophathy.

Remarks:
To continue his hemodialysis treatment in this institution on a two (2) times a week basis.

Ismael Ramos, MD
Nephrologist
Lic. #: 85943
PTR #: 2252543
T R EAT M E N T PR O T O C O L

Patient`s Name: Dimabuyu, Glenda y Manalo Age: 36y/o Sex: Female


Diagnosis: Kidney Disease Physical Examination:2º to Chronic Pyelonephritis vs
Obsructive Urophathy.

No. of days of No. of Price per


Drug/s Freq. Prep Total Price
adm. items item

Epoetin Beta (Recormon)


2x/week syringe 2 2 1,562.00 3,125.00
5,000 IU
Regeron Forte OD TAB 7 7 30.00 210.00
Amlodipine(Norvasc)10mg BID TAB 7 14 40.00 280.00
CaCo3(Calvit) TID TAB 7 21 8.00 168.00
Total price per week P3,783.00
Total price per
P15,132.00
month
Based on the prices of: Pampanga Medical Specialist Hospital Pharmacy

Noted by: Prepared by:

_______________________ ______________________
Ismael Ramos, MD Judiel John M. Taju, R.N
Nephrologist Hemodialysis Nurse
Lic. #: 85943
PTR #: 2252543

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