Blake Photo Time-Line

ONLC PEDIATRICS OCHSNER, BATON ROUGE REGION LA

Grondin, Blake John MRN: 12051461, DOB: 2/14/2020, Sex: M

Acct #: 72015194439 Enc. Date 12/20/2021 12/20/2021 - Office Visit in O'Neal - Pediatrics (continued)

Outpatient Medications at Start of Encounter as of 12/20/2021 (continued) Disp

Refills End Sig: Give 2 puffs every 6hrs for 3 days, then give 2 puffs every 6hrs as needed for shortness of breath or cough cefdinir (OMNICEF) 250 mg/5 mL suspension (Taking) 35 mL 0 12/16/2021 12/26/2021 Sig - Route: Take 1.7 mLs (85 mg total) by mouth 2 (two) times daily. for 10 days - Oral dextromethorphan 15 mg/5 mL syrup (Taking) Sig - Route: Take 10 mLs by mouth 4 (four) times daily as needed for Cough. - Oral Class: Historical Med inhalation spacing device (RITEFLO AEROCHAMBER) (Taking) 1 each 0 12/16/2021 Sig: Use as directed for inhalation. Notes to Pharmacy: Please give mask appropriate for 22mo old Start

Medications the Patient Reported Taking

Disp 6.7 g

Refills

Start

End

albuterol (PROVENTIL/VENTOLIN HFA) 90 mcg/actuation inhaler (Taking)

0

12/16/2021

Sig: Give 2 puffs every 6hrs for 3 days, then give 2 puffs every 6hrs as needed for shortness of breath or cough cefdinir (OMNICEF) 250 mg/5 mL suspension (Taking/Expired) 35 mL 0 12/16/2021

12/26/2021

Sig: Take 1.7 mLs (85 mg total) by mouth 2 (two) times daily. for 10 days Route: Oral dextromethorphan 15 mg/5 mL syrup (Taking) Sig: Take 10 mLs by mouth 4 (four) times daily as needed for Cough. Class: Historical Med Route: Oral inhalation spacing device (RITEFLO AEROCHAMBER) (Taking) 1 each 0

12/16/2021

Sig: Use as directed for inhalation. Notes to Pharmacy: Please give mask appropriate for 22mo old

Progress Notes

Progress Notes by James A. Wayne Jr., MD at 12/20/2021 9:00 AM Author: James A. Wayne Jr., MD Service: —

Author Type: Physician

Filed: 12/21/2021 8:16 AM

Encounter Date: 12/20/2021

Creation Time: 12/20/2021 9:29 AM

Status: Signed

Editor: James A. Wayne Jr., MD (Physician)

Assessment/Plan: Bronchiolitis

Pts wheezing has resolved. No steroids indicated. Right TM still bulging and red so need to continue an abx to complete tx course for OM. Change albuterol to as needed use. Tylenol (acetaminophen) or Motrin/Advil (ibuprofen) may be given for fever or discomfort and supportive care. Offer fluids to promote adequate hydration. Humidifier may help with nasal congestion. RTC/ER prn increased WOB, fever > 5 days, signs of dehydration or for parental questions or concerns.

Subjective:

HISTORY OF PRESENT ILLNESS: 22mo male here for F/U of wheezing and ear infection dx last week. Has been getting albuterol Q6 x 3 days. No further fever. Albuterol does seem to help. Activity level is back to normal Generated on 7/19/22 2:38 PM Page 2