An 86-year-old was admitted to the hospital after she had a seizure while waiting for a swallow evaluation as an outpatient. Her family members report that the patient has baseline advanced dementia, which has been worsening over the last year. She is not verbal (she can conduct a meaningful verbal communication). Past medical history (PMH) Dementia, hypertension (HTN), constipation.
Medications Iron supplements, ferrous sulfate (FeSO4) 325 mg po bid, aspirin 81 mg po daily, docusate 300 mg po qhs. Physical examination Vital signs (VS) showed a normal temperature of 36.5 C, heart rate of 94 bpm, respirations 12 per minute, blood pressure 120/87 mm Hg (36.5-94-14-120/87). The examination of Head, Eyes, Ears, Nose, and Throat (HEENT) showed that she the head was normocephalic, atraumatic (NC/AT), and she had dry mucosal membranes (MM). The chest was clear to auscultation bilaterally (CTA…
