
12/07/2025
Pt Mr tyagi age 82
NYHA-III, COPD, ILD, Hypertension, Bilateral Osteoarthritis Knee, BPH, Hypoalbuminemia
Diagnosis:-
Acute Febrile Illness, Acute Bronchospasm, Sepsis with Left Ankle Cellulitis (recovered), Septicemia (Procalcitonin Positive), Thrombocytopenia, Pulmonary Odema, AKI on CKD with Recurrent Hypoalbuminemia with Severe Anaemia with Bleeding PR - Re**al hemorrhoids and A**l Erosions, Prostatomegaly, Anasarca, Presyncope with Acute Exacerbation of COPD, Type-l Respiratory Failure, D.O.E NYHA-II with Acute Bronchospasm with Bilateral Extensive Pneumonia with Aspiration Pneumonitis and Mediastinal
Pneumothorax (ICD)
Lymphadenopathy with Bilateral Mild Pleural and Fissural Effusion with Coagulopathy with Fluid Overload with CHF Past History Accelerated Hypertension with Pansinusitis with Anaemia, LRTI with Bilateral Pneumonitis with ILD with with Right THR Status, BPH, Grade 2-3 Hemorrhoids with Hypoxemia.
Comparison between chest X-rays, first pic showing retained secretions in the Right lung.
Technique Passive CPT
A series of Passive airway clearance techniques like-
1. Nebulization .
2. Mechanical Vibrations And Percussion.
3. Postural Drainage (Left Lateral Position) Acording to Secretion of the patients
4. Chest wall shaking.
5. Suctioning.
were used to mobilize secretions and restore air entry bilaterally, followed by suctioning to reintroduce air entry in affected lung. And comparing the pic, the lung capycity is reduced apparently . Nebulization after Three sessions of Passive Chest Physiotherapy and every 3 hourly Suctioning.
Despite the X-ray not indicating a complete recovery for the patient at this time, I want to emphasize our dedication to providing effective treatments moving forward.
With gratitude, I attribute my accomplishment of treating such critical cardiopulmonary cases in the ICU