Baby Denisse Antonella Endara Hurtado

7 Months / FEMALE FIRST VISIT 90010000019007

Age/ Sex Consultation Type MRN
Encounter Type Mar 7. 2019 11:16:29 AM 59160027010
IP General Encounter Date Phone Number

Discharge Instructions
NOTE ENTERED BY LAST UPDATED TIME
Dr Sridhar Devaraju Mar 21.2019 09 13:27 AM

* Wound care To review after 1 week wflh ECG, CXR, 20 Echo

Continue the following medications:

1 Tab Enalapril 1.25mg 10-1 till further orders

2 Tab Orciprenaline 5 mg 1-1-1 for 15 days
3 Syp Furosemide 5 mg 1-1-0 for 1 wek
4 Tab Spironolactione 5mg 1-1-0 for 1 week
5 Syp Paracetamol 3ml SOS
6 Tab Junior Lansoprazole 15 mg 0D for 1 week

Course in Hospital
NOTE
ENTERED BY LAST UPDATED TIME
Dr Sridhar Devaraju Mar 21.2019 09 09:45 AM
* Baby Denisse 7months/F admitted with above said diagnosis underwent
glutaraidehyde treated pericardial patch closure of VSO, pulmonary valvotomy. Pericardial
patch plasty of pulmonary artery confluence and RPA, double ligation of PDA. Direct
closure of PFO done on 08/03/2019. She came off bypass at first attempt in complete
heart block ventricular pacing was initialed, she was requiring dobutamine and adrenaline
supports. Shifted to ICU on ventilator in a stable condition on dual chamber pacing
Was extubated within half hour of shifting to the ICU, post extubation respiratory efforts
were good. The inotropes were tapered and stopped, detubed and arterial lines were
removed by POD-2 She remained in complete heart block till 10th POD when it reverted
to sinus rhythm. Her pacing wires were removed on POD-12, post wire removal the echo
was within normal limits. She had a good recovery in the hospital after tins and is getting
discharged on POD-13 in a haemodynamically stable condition.

Condition At Discharge
NOTE

ENTERED BY LAST UPDATED TiME

Dr Sridhar Devaraju Mar 21.2019 09 08:24 AM

* Haemodynamically stable, in sinus rhythm

Vitals
HR -124 b/min. regular
BP - 88/42 mm of Hg
Sp02 - 94-99% on room air
Afebrile

Discharge Diagnosis
NOTE
ENTERED BY LAST UPDATED TIME
Dr Sridhar Devaraju Mar 21.2019 06 41:11 PM
Large perimembranous ventricular septal defect L-R shunt, discrete subaortic
membrane, right pulmonary artery stenosis, patent ductus artenosus mild pulmonary
valvar stenosis, small PFO, good biventricular function, mild pulmonary arterial
hypertension sinus rhythm

Dr. Binoy Chattuparambll Baby Denisse Antonella Endara Hurtado

Consultant 90010000019007
SURGERY - ADULT IP General