Name:Tamim Room:B-7-1 Labs: Images:

Age: 2 years MRN:HC06917327 Hb 11.6 CXR: Normal

Cause of admission Wt:16.6 Kg WBC 9.9
Pseudomonas Bacteremia DOA: 3/3/23 PLT 454
CRP 33
CMP Normal
HPI Problem list: BCX 2/3 Pseudomonas not argonasa
BCX on 3/3 NG at 1 day
Stool Cx pending
UCX None
DFA Negative

Medications: Assessment Discharge plan

1.NS neb Q6hrs Tamim is a 2 years old previously healthy
child , presented with fever and URTI
symptoms with vomiting and diarrhea ,
admitted as a case of pseudomonas
bacteremia

Plan:
1.Continue on Meropenem
Fever 2.Follow pending cultures and susceptibility
Abx: if repeated BCX is negative for 2 days to
1.Ceftriaxone finished 2 days stop ABX and discharge him as per ID
2.Meropenem D2
Nutrition:

IVF:
Respi:
Name:Saod Almarri Room:C-5-1 Labs: Images:
Age: 8 months CA 5 months MRN: HC08171399 Hb 12.2 , MCV 80 , RDW 12.6
Cause of admission Wt:4.7 Kg WBC 10.3 CXR:
Right upper lobe pneumonia DOA: 2/3/2023 PLT 362 Bilateral infiltrates more on right upper zone
CRP 44
UWBC 24
HPI Problem list: CMP Nirmal
Fever, cough and increase work of CNS: Check development BCX NG at 1 day
breathing of 1 day CVS: Tiny PFO with no PHTN UCX Mixed growth
Resp: Moderate BPD was on home oxygen DFA Rhino/Adeno
after he was admitted on 11/22 with
bronchiolitis then stopped.
Discharged on 13/2/2023 as viral induced
wheezy chest on O2 for few days then
stopped.
Need Sleep study not done yet.
GI: Oral feeding , FTT. BW 0.56 current
weight 4.7 Kg
GUS: had right inguinal surgery repair
Heme: Macrocytic anemia started on Folic
acid and Iron
Metabolic: primary carnitine uptake
deficiency on levocarnitine

Medications: Assessment Discharge plan

1.NS neb Q4hrs Saod is an 8 months , Ex-preterm CA 5 1.General peds follow up for FTT
2.Levocarnitine 150 mg Q8hrs months known to have moderate BPD, FTT 2.Pulmo and Metabolic follow up
3.Budesonide 250 BID on room air,was discharged from hospital 2
weeks ago as exacerbation.
Presented with fever , cough and increase
work of breathing admitted as a case of viral
exacerbation with suspicion of secondary
bacterial infection.

Fever
Abx:
1.Ceftriaxone Finished 4 days Plan:
2. Augmentin D1 1.Shift to oral Augmentin
Nutrition: Oral feeding Infantrini 60-90 ml/3hrs 2.Wean oxygen and space neb as tolerated
3.Follow pulmo consultation
4.Dsichargeon Oral Augmentin for total 10
IVF:
days
Respi: Nasal canula 0.5L/min
Name:Ahmed Amar Room:C-8-1 Labs: Images:
Age:5 years MRN:HC05144885 Hb 12 CXR: bilateral infiltrates more on right side
Cause of admission Wt:16.9 Kg WBC 6.5
Viral pneumonia DOA:25/2/2023 PLT 231
CRP 10
CMP normal
HPI Problem list: BCX NG
Trisomy 21 UCX None
CNS: Developmental delay no seizure DFA hMPV, Adeno, Corona
CVS: No cardiac lesions
Respi: Mild OSA , following with pulmo
sleep study follow up on 9/2023.
ENT: Had adenotonsillectomy twice after
which he has improved and stop using
BiPAP machine.
GIT: CMPA and gallbladder stone on
ursodiol following with GI in sidra.
Swallowing dysfunction with silent
aspiration on G-Tube feeding
Discharged on12/2 as pneumonia then
developed respiratory distress with new
fever.

Medications: Assessment Discharge plan

1.NS neb q4hrs Ahmed is a 5 years old male , trisomy 21 1.Follow up with pulmo, ENT , General
2.Ursadiol 200 mg BID with mild OSA on room air.. peds , Child development
He was recently discharged from hospital as
aspiration pneumonia to complete oral abx.
Presented with fever and increase work of
breathing during last 2 days of oral abx.
Step down from PICU as a case of viral
pneumonia required HFNC for 2 days.
Clinically improving on nasal canula.
Fever
Abx:
1.
2. Plan:
Nutrition: Neocate 150/3hrs 1.Wean Oxygen and space neb as tolerated
2.Dsicharge on controller medications.
3.SLP Follow up.
IVF:
Respi: Room air
Name:Rashed Room:C-9-1 Labs: Images:
Age:7 months MRN:HC08244542 Hb 12.2 CXR: Right upper and middle infiltration
Cause of admission Wt:7 Kg WBC 9.7
Aspiration pneumonia DOA:4/3/23 PLT 375
CRP <2
CMP ALT/AST 63/95
HPI Problem list: BCX pending
Merosin deficient congenital muscular UCX None
dystrophy with silent aspiration. DFA pending
Discharged on 26/1 form PICU as a case
of Parainfluenza bronchiolitis

Medications: Assessment Discharge plan

1.HTS neb Q3hrs Rashed is a 7 months old, known to have
2.SalbutamolQ3hrs Merosin muscular dystrophy , presented
3.Lansoprazol daily with fever , cough and increase work of
breathing admitted as a case of Aspiration
pneumonia

Plan:
Fever 1.Continue ABX
Abx: 2.Space neb and wean O2 as tolerated
1.Augmentin D2
2.
Nutrition: NGT Aptamil 130 ml/3hrs

IVF:
Respi:0.5 L/min nasal canula
Name:Baby of Rinu Room:C-12-1 Labs: Images:
Age:5 days MRN:HC08523584 Hb 21.1
Cause of admission Wt:2.6 Kg WBC 11.2
Rule out sepsis /LP Refused DOA: 28/2/23 PLT 288
CRP <5
CMP Bili 192>> 132>> 100
HPI Problem list: BCX NG at 2 day
C/S , FT, DM , NICU for 3 days due to UCX NG
TTN, GBS +ve not treated DFA None

Medications: Assessment Discharge plan

7 days old , born to untreated GBS positive
mother, presented with fever admitted to
rule out sepsis, LP refused.

Plan:
1.Continue on both ABX for 10 days and
follow pending cultures
2.Allow out on pass for one time a day

Fever
Abx:
1.Ampicillin D7
2.Cefotaxime D7
Nutrition:

IVF:
Respi:
Name:Mazin Room:C-13-1 Labs: Images:
Age: 5 years MRN:HC04918081 Hb 11.1
Cause of admission Wt:17 Kg WBC 3.6
Fever for investigations DOA: 3/3/23 PLT 324
CRP 13.9 . ESR 30
CMP Normal
HPI Problem list: CMV IgM negative , IgG reactive
EBV pending
Fever and rash panel pending
GAS negative
BCX NG at 1 day
UCX pending
Throat cx pending
DFA Adeno

Medications: Assessment Discharge plan

Mazin is a 5 years old male previously
healthy , presented with fever , cough and
red eyes for 7 days , admitted for
investigations.

Plan:
1.Stop abx if negative blood culture for 2
Fever days
Abx: 2.Follow pending labs and cultures.
1.Ceftriaxone D3 3.Possible discharge tomorrow if negative
2. cultures.
Nutrition:

IVF:
Respi:
Name:Abdulrahman Gharbi Room:C-14-1 Labs: Images:
Age: 23 months MRN:HC06778857 Hb 9.1, MCV 62, RDW 19 CXR: bilateral infiltrates more on right
Cause of admission Wt:10 Kg WBC 3.9 lower lobe.
Influenza A bronchiolitis DOA:3/3/23 PLT 335
CRP 74
CMP Urea 4.4, Cr32
HPI Problem list: BCX NG at 1 day
UCX None
DFA Influenza A

Medications: Assessment Discharge plan

1.NS neb Q4hrs
Abdulrahman is a 23 months old ,
previously healthy , presented with fever ,
cough and increase work of breathing of 4
days.
Step down from PICU as a case of Influenza
A bronchiolitis required maximum support
as Nasal canula.

Fever Plan:
Abx: 1.Continue on Tamiflu
1.Ceftriaxone finished 3 days 2.Stop Abx and observe for any clinical
2.Tamiflu D2 deterioration
Nutrition: 3.Encourage oral intake and stop IVF
4.Discharge on Iron
5.Send for food test allergy and total IgE
IVF: Full maintenance
6.Referral to allergy and immunology for
Respi:Room air
multiple food allergy
Name: Muhammad Asim Room:C-14-2 Labs: Images:
Age:10 months MRN:HC08035023 Hb 11.3 >> 10.2, MCV 72, RDW CXR: Bilateral infiltrates more on the right
Cause of admission Wt:8.4 Kg WBC 19.4 >> 32 >> 10.1 side worsening
Right sided pneumonia DOA:27/2/23 PLT 465 >> 766 Repeated CXR on 1/3 almost same
CRP 34 >> 25 infiltration
CMP normal
HPI Problem list: BCX NG at 2 day
1.Ex-Preterm 34 weeks UCX NG
2.Bicaspid aortic valve , no AI ,or AS UWBC 35
3.Has 3 café au lait spot DFA Influenza A+ RSV
New DFA adeno virus

Medications: Assessment Discharge plan

1.Salbutamol Q4hrs Muhammad is a 10 months old, Ex-Preterm,
2.NS neb Q4hrs recently discharged form hospital as
3.Paracetamol Q6hr PRN influenza pneumonia complicated by
secondary bacterial infection , presented
with new spikes of fever , cough and
increase work of breathing admitted as a
case of right sided pneumonia

Fever
Abx: Plan:
1.Ceftriaxone finished 7 days 1.Shift to oral Augmentin
2.Clindamycin finished 4 days 2.Sapce nebulizer
3.Augmentin oral 3.Stop IVF
Nutrition: 4.Dsichareg on oral Augmentin for another
5 days
5.Dsicharge on Salbutamol and NS neb
IVF:
6.Follow up with Dr.Lolwa on 13/3/2023
Respi: Room air
Name:Baby of Khoulud Room:D-10-1 Labs: Images:
Age: 3 days MRN:HC08525630 Hb 17.1
Cause of admission Wt:3.8 Kg WBC 8.2
Rule out sepsis+ Hypoglycemia DOA:2/3/23 PLT 373
CRP 10.8
CMP K 148
HPI Problem list: CSF WBC 16 , RBC 3767, Glu 2.7 , Prt 1.31
FT ,GBS negative , NVD , No NICU CSF CX NG
admission , Mother thalassemia trait UWBC 24 , URBC 27
BCX NG at 2 days
UCX NG
DFA Negative

Medications: Assessment Discharge plan

3 days old with insignificant perinatal hx ,
presented with fever and cough admitted to
rule out sepsis.

Plan:
1.Continue on Abx for 10 days as clinical
sepsis
Fever 2.No RBS monitoring
Abx:
1.Ampicillin finished 4 days
2.Cefotaxime D5
Nutrition:

IVF:
Respi:
Name: Baby of Muneera Room:D-11-1 Labs: Images:
Age:3 months MRN:HC08440788 Hb 10.4 , MCV 86, RDW 12.8 CXR: bilateral infiltrates with right upper
Cause of admission Wt:5.6 Kg WBC 14.8 lobe collapse
Bronchiolitis DOA:2/3/2023 PLT 523
CRP none
CMP normal
HPI Problem list: UWBC 20, RBC 13
BCX NG at 2 days
UCX NG
DFA Influenza B

Medications: Assessment Discharge plan

1.HTS neb q4hrs Nayef is a 3 months old previously healthy.
Presented with fever , cough and increase
work of breathing admitted as a case of
Influenza B bronchiolitis.

Plan:
1.Wean and space neb as tolerated
Fever 2.Keep on Tamiflu
Abx: 3.Continue on Ceftriaxone for total 5 days
1.Ceftriaxone D5
2.Tamiflu D5
Nutrition:

IVF:
Respi: Room air
Name:AlAnoud Room:D-13-1 Labs: Images:
Age:2 years MRN:HC06901363 Hb 11.9
Cause of admission Wt:13.9 WBC 5.7
Congenital ichthyosis admitted with herpes DOA: 3/3/23 PLT 318
Stomatitis CRP None
CMP Normal
HPI Problem list: BCX NG at 2 day
UCX NG
DFA

Medications: Assessment Discharge plan

1.Magic mouth wash Alanoud is a 2 years old , known to have
congenital ichthyosis , presented with fever ,
lip swelling and pain , admitted as a case of
herpes stomatitis for hydration.

Plan:
Fever 1.Shift acyclovir to oral
Abx: 2.Encourage oral intake and stop IVF
1.Acyclovir D2 (changed to oral) 3.If good oral intake to be discharged
2.Augmentin finished 2 days tomorrow with follow up with Dr.Manasik
Nutrition:

IVF: ½ maintenance
Respi:
Name:MD Tohidul Room:D-16-1 Labs: Images:
Age:8 years MRN:HC07181445 Hb 7.9 . MCV 54 , RDW 15
Cause of admission Wt:32 Kg WBC 5.8
Resolved septic shock DOA: 1/2/23 PLT 102 >> 8 >> 135
Varicella CRP 52
Procal 5.09 >> 3.9>> 3.5
HPI Problem list: LDH 340, CK 15
CMP Normal
BCX NG at 2 days
UCX NG
DFA Adeno, EBV , Varicella IgM positive

Medications: Assessment Discharge plan

1.Ibuprofen PRN for pain Tohidul is an 8 years old , previously
healthy , presented with fever and vesicular
rash of 10 days , admitted to PICU as a case
of septic shock with background for
varicella infections, needed Inotropic
support for few hours.

Fever Plan:
Abx: 1.Continue on Ceftriaxone for at least 7 days
1.Ceftriaxone D5 2.Discharge on Iron
2. 3.Send for CBC, Retic, Hb electrophoresis ,
Nutrition: Iron profile tomorrow
4.Ibuprofen for neck pain
IVF:
Respi: