57y/o M former smoker (23 pack year, quit in 2014), a diagnosis of upper lobe predominant emphysema/ COPD (FEV1 of 1.20, 32%, normal A1AT), former vaping (2016-2022), on chronic prednisone of 20 mg and 2L home O2
diagnostics
full rvp
legionella, strep
DFA PJP?
interventions
broaden to piptaz?
restart TMP-SMX vs await dfa
steroid plan (80 then very slow taper?)
ensure calcium, ppi, d3
pm
60F w htn, dm, restrictive lung disease?, reactive airway disease w peripheral eos, OSA not on CPAP, HFpEF, CAD, history of SLL who for initial visit after hospitalization 10/20/2023.
diagnostics
full rvp
legionella, strep
interventions
pred 40 for 5
nebs
am
50f w asthma, rsv+
interventions
inc to pred 60 (40 qam, 20 qhs)
PFTs to Discuss
tasks.1703870234.txt.gz · Last modified: 2023/12/29 17:17 by admin