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Discharge Summary — Maitreya Hospital, Surat (17 Jul 2026)

17 Jul 2026 · Maitreya Hospital, Surat

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Clinical summary

This is the document that settles the current medication list. Until it was supplied, no Maitreya prescription existed anywhere in the archive and the July regimen rested on the family's recollection.

Condition on discharge (verbatim)

PATIENT IS HAEMODYNAMICALLY STABLE CONDITION.
VITALS :-
BP:- 130/80 MMHG
PR- 83 BPM
SPO2- 93% ON 1 LIT O2 SUPPORT

Note: she remains oxygen-dependent at 1 L/min at discharge, saturating 93 %.

Surgical Note: NA. Laboratory Investigations: "ALL REPORTS ATTACHED WITH FILE AND HANDED OVER TO RELATIVES."

RX (Advice on Discharge) — verbatim, with generics

Cardiac / cardiovascular

VerbatimGenericSchedule
TAB APIXALIFE 5MG 1---0---1 AFTER FOODApixaban 5 mgBD
TAB CORDARONE 100MG 1----0---1 AFTER FOODAmiodarone 100 mgBD
CAP MEXOHAR 150MG 1---0----1 AFTER FOODMexiletine 150 mgBD
TAB ALDACTONE 50MG 0----1----0 AFTER FOODSpironolactone 50 mgOD (midday)
TAB DYTOR 20MG 1----1----0 AFTER FOODTorsemide 20 mgBD
TABTADALAFIL 20MG 0----0----1 AFTER FOODTadalafil 20 mgHS (for PAH)

No beta-blocker is on this list.

Respiratory / anti-infective / steroid

VerbatimGenericSchedule
TAB DOXY 100MG 1---0----1 AFTER FOOD X TILL STOCKDoxycycline 100 mgBD until stock finished
TAB DOXOLIN M 0----0----1 AFTER FOOD FOR 20 DAYSDoxofylline + montelukastHS × 20 d
TAB OMNACORTIL 40MG ... TAPPERING DOSEPrednisolone40 mg × 5 d → 20 mg × 5 d → 10 mg × 5 d → 5 mg × 5 d → stop
NEB FORACORT 1MG 1----0-----1Budesonide + formoterol nebBD
SYP CODISTAR NF 0---0---10ML AFTER FOODCough syrupHS
TAB L-DIO 1 1----0----1 AFTER FOOD X 5 DAYSLevocetirizine (brand ambiguous — may be levocetirizine ± montelukast)BD × 5 d
TAB DMR 20MG SOSDextromethorphan 20 mgSOS

GI / supportive / nutritional

VerbatimGenericSchedule
TAB VOQOZON 20MG 1---0---0 BEFORE FOODVonoprazan 20 mg (acid blocker)OD
CAP PERINORM CD SOS X BEFORE FOOD (FOR NAUSEA / VOMITING)Metoclopramide (controlled delivery)SOS
SYP CREMAFFIN PLUS 20ML SOS FOR CONSTIPATIONLaxativeSOS
SYP BENTONIN AST 10ML---10ML---10ML BEFORE FOODAppetite/tonic syrup (composition not confirmed)TDS
SAC CALTROL D3 X ONCE A MONTHVitamin D3 sachetmonthly
TAB NUMYLIN D 0---0---1 AFTER FOOD X ALTERNATE DAY (2 MONTHS)Neurotropic vitamin combination (composition not confirmed)alt day × 2 mo
TAB CALCORE 0---0---1 AFTER FOOD X ALTERNATE DAY (2 MONTHS)Calcium supplement (composition not confirmed)alt day × 2 mo

Oncology-supportive (post-chemotherapy)

VerbatimGenericSchedule
INJ FRASTIM 300MCG S/C 14-07-2026Filgrastim (G-CSF) 300 mcgsingle dose 14-Jul-2026
TAB ENDACE (160MG) 1------1-----1 AFTER FOOD X 7 DAYSMegestrol acetate 160 mgTDS × 7 d
TAB METHAT OD 1----0------1 AFTER FOOD X 7 DAYSComposition not confirmedBD × 7 d
PURPLE PRO POWDER 2----2----2 X 10 DAYSProtein supplementTDS × 10 d
DISKETTE THREPTIN (VANILLA) 2----2-----2 X 21 DAYSProtein biscuitsTDS × 21 d

The Frastim (filgrastim) dose dated 14-07-2026 indicates chemotherapy was given during this admission — G-CSF is standard 24 h post-chemo.

Advice on discharge / urgent care (verbatim)

-IN CASE OF ANY EMERGENCY OR ANY COMPLAINTS LIKE SEVERE PAIN, WEAKNESS,
FEVER, BURNING MICTURITION, VERTIGO, DROWSYNESS, GIDDINESS, GABHRAMAN,
NAUSEA, VOMITING, ABDOMEN PAIN, FEVER, WEAKNESS, OEDEMA, BLEEDING FROM
ANY SITE IMMEDIATE COME TO MAITREYA HOSPITAL.

Follow-up (verbatim)

FOLLOW UP AFTER 5 DAYS TO DR SANJAY AGRAWAL
AND AFTER 7 DAYS TO DR KAUSHAL PATEL

Clinical significance

  1. Confirms the current cardiac regimen — amiodarone 100 mg BD (halved from 200 mg BD at RFH) and mexiletine 150 mg BD (reduced from TDS). Per the family, this de-escalation was made ~13 Jul 2026 by the Maitreya team with Dr. Talha Meeran's approval, in response to the prolonged QT. The QTc has fallen since: 529 ms (08 Jul) → 491 (13 Jul) → 481 (17 Jul).
  2. Apixaban 5 mg BD confirmed — anticoagulation continues post-PE.
  3. No beta-blocker — consistent with Concor having been dropped at RFH in Apr 2026 and never restarted.
  4. New QT-relevant additions: Dytor (torsemide) 20 mg BD — a loop diuretic that wastes potassium and magnesium — plus a tapering prednisolone course, which also lowers potassium. Both compound the hypokalaemia risk in a patient with a prolonged QT on amiodarone, whose K⁺ is already 3.57–3.89 and whose magnesium has not been measured since 08 Mar 2026. Perinorm (metoclopramide) is itself a QT-prolonging antiemetic, prescribed SOS.
  5. Still oxygen-dependent at 1 L/min, SpO₂ 93 % — consistent with the increased pleural effusions on the 05-Jul HRCT and persistent severe PAH.

Original document

2026-07-17_Summary-Discharge_Discharge-Summary-Maitreya-Surat