CuraMonk

Care memory and note drafting workspace

Scoped memory

Dev auth bypass

Local Clinician

Care Lead

A.B.

78/Factive

Septic Shock Admission - June 2026

CuraMonk is using this journey as the active memory boundary for drafts, pending items, and timeline context.

MRN

MG-10248

Location

ICU 4

Code

DNR/DNI

Diagnosis

Septic shock secondary to Foley-associated UTI

CuraMonk Compose

Draft from the active journey only, with review checks kept visible.

Prompt template

Assessment and Plan

Update a prior A/P with new clinical changes while preserving unresolved problems.

Today's updates

OpenAI generation is enabled when OPEN_API_KEY is present; CuraMonk keeps the key server-side and falls back locally if needed.

Generated Draft

Editable output before physician approval.

# Updated Assessment and Plan - 06/07/2026

AI-generated draft. Physician review required.

1. Septic shock secondary to Foley-associated UTI (R65.21, N39.0) - improving
- Presented 06/06/2026 from nursing home with altered mental status, hypotension, leukocytosis, lactate 3.0, and dark cloudy Foley urine.
- Foley was exchanged in ED. Received 30 mL/kg normal saline and required norepinephrine.
- 06/07/2026: Off vasopressors. Lactate improved to 1.2. WBC improved from 15 to 12.
- Continue ceftriaxone. Follow urine and blood cultures. Reassess Foley necessity daily.

2. Acute kidney injury (N17.9) - improving
- Creatinine improved from 2.5 to 2.0 after resuscitation.
- Continue to trend renal function and urine output. Avoid nephrotoxins.
- Renal imaging remains pending/not documented.

3. Acute metabolic/septic encephalopathy (G93.41) - improving
- Mental status improved to alert and oriented x2. Baseline dementia noted.
- Continue delirium precautions and reassess swallow safety before diet advancement.

Suggestions requiring physician review:
- Consider transfer out of ICU if hemodynamics remain stable.
- Reassess home antihypertensives only after sustained clinical stability.