Narrative Review: Acute Kidney Injury: Difference between revisions
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'''Adverse event code:''' | '''Adverse event code:''' | ||
* '''Demograghic''': [age] year old [gender] | * '''Demograghic''': [age] year old [gender] | ||
* '''Past Medical History:''' [eg. CAD | * '''Past Medical History:''' [eg. diabetes, CAD,...] | ||
* '''Index Procedure Date/Time''': xx/xx/xxxx at xx:xx [insert date and time] | * '''Index Procedure Date/Time''': xx/xx/xxxx at xx:xx [insert date and time] | ||
* '''Index Procedure Detail''': | * '''Index Procedure Detail''': | ||
** On [insert date and time] the subject underwent a [select surgical correction] for [select etiology]. | ** On xx/xx/xxxx at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology]. | ||
** Enter access site details | ** Enter access site details | ||
** The site reported that there were/were not procedural complication(s). | |||
** The site reported that there were/were not procedural complication(s). | |||
* '''Event''': MI | * '''Event''': MI | ||
* '''Site Reported Event Onset Date:''' xx/xx/xxxx | * '''Site Reported Event Onset Date:''' xx/xx/xxxx | ||
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** Other important symptoms related to the chief compliant. | ** Other important symptoms related to the chief compliant. | ||
** Physical assessment: | ** Physical assessment: | ||
** Vital | ** Vital signs | ||
** Positive physical examinations or related negative examinations. | ** Positive physical examinations or related negative examinations. | ||
* '''Lab studies:''' | * '''Lab studies:''' | ||
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|'''Date''' | |'''Date''' | ||
|'''Time''' | |'''Time''' | ||
|''' | |'''BUN/Cr''' | ||
|''' | |'''Na/K''' | ||
|'''Urine output''' | |||
|- | |- | ||
|xx/xx/xxx | |xx/xx/xxx | ||
|xx:xx | |xx:xx | ||
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|xx/xx/xxx | |xx/xx/xxx | ||
|xx:xx | |xx:xx | ||
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|xx/xx/xxx | |xx/xx/xxx | ||
|xx:xx | |xx:xx | ||
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Revision as of 14:12, 14 June 2018
Site:
AE:
Complication:
Event date:
Adverse event code:
- Demograghic: [age] year old [gender]
- Past Medical History: [eg. diabetes, CAD,...]
- Index Procedure Date/Time: xx/xx/xxxx at xx:xx [insert date and time]
- Index Procedure Detail:
- On xx/xx/xxxx at xx:xx [insert date and time] the subject underwent a [select surgical correction] for [select etiology].
- Enter access site details
- The site reported that there were/were not procedural complication(s).
- Event: MI
- Site Reported Event Onset Date: xx/xx/xxxx
- Event summary:
- Symptoms and sign: Subject presented with [sign and symptom] on xx/xx/xxxx.
- Important characteristics of the chief complaint such as severity, site, and duration.
- Other important symptoms related to the chief compliant.
- Physical assessment:
- Vital signs
- Positive physical examinations or related negative examinations.
- Lab studies:
- Bun/Cr levels
| Date | Time | BUN/Cr | Na/K | Urine output |
| xx/xx/xxx | xx:xx | |||
| xx/xx/xxx | xx:xx | |||
| xx/xx/xxx | xx:xx |
- Other labratory:
- Date/ name/ value
- Other labratory:
- ECG’s:
| Date | Time | Finding |
|---|---|---|
| xx/xx/xxx | xx:xx | |
| xx/xx/xxx | xx:xx | |
| xx/xx/xxx | xx:xx |
- ECHO/ date:
- Trans-thoracic:
- Trans-esophagus:
- CXR / date:
- Other imaging and diagnostic tests / date:
- Clinical course:
- Treatment:
- Outcome: