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The patient was admitted and started on chest physical therapy (PT) and later intermittent positive pressure breathing (IPPB). Ancef was began as well as intravenous fluids. Betadine and sugar compound were begun for sacral decubitus. While she was on Ancef, her Macrodantin was held. Her cough was very poor. The chest physical therapy seemed to help ring it up. We had to add IPPB to help bring up the sputum. Initially, her second chest x-ray showed progression. Later there was improvement; but then the patient went into congestive heart failure, and lasix was begun. The patient did improve after several days, and she was able to sit on the side of the bed prior to discharge. She looked much better and was discharged home on bed rest, low-salt diet. Final Diagnoses: Right lower pneumonia due to Group A Streptococcus. Congestive heart failure. Sacral decubitus. 3 Codes.
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