A report was received on (b)(6) 2020 from the home therapy nurse (htn) of a (b)(6) year old female patient with a known medical history of asthma, diabetes, left lung lower lobectomy and end stage renal disease stating the patient experienced a stroke during hemodialysis therapy on (b)(6) 2020.Additional information was received on (b)(6) 2021 from the htn who stated that the patient was transported to hospital, having multiple syncopal episodes enroute and was admitted with shortness of breath, inability to move her left lower extremity and confusion.Examinations in the emergency department (ed) to establish a differential diagnosis included cranial and pulmonary ct scans both with and without contrast medium, perfusion head ct, electrocardiogram, chest xray and extensive laboratory testing including blood cultures.Compliance with medications taken prior to hospitalization could not be determined.Testing results showed no occlusion of the large cranial vessels and no intracranial hemorrhage.A small, distal pulmonary embolus of unspecified significance and origin was found as well as extensive atelectasis and pneumonia.Antibiotic therapy was initiated (ceftriaxone and azithromycin, nos) and the patient was transferred to the intensive care unit.Results of the ed workup led to the documented diagnoses of altered mental status, left leg weakness, pulmonary embolism and pneumonia.Details of the course of hospitalization and date of discharge were requested and were not provided.The htn stated that the physician considered the event unlikely related to the device or hemodialysis therapy.
|