Sandbox vidit: Difference between revisions
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(Created page with "{{familytree/start |summary=PE diagnosis Algorithm.}} {{familytree | | | | | | | | | | |,|-|-|-| A01 |-|-|-|-| A02 | | | | | | | | | | | | | | | | | | | | | | |A01=Cerebral ed...") |
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{{familytree/start |summary=PE diagnosis Algorithm.}} | {{familytree/start |summary=PE diagnosis Algorithm.}} | ||
{{familytree | | | | | | | | | | |,|-|-|-| A01 |-|-|-|-| A02 | | | | | | | | | | | | | | | | | | | | | | |A01=Cerebral edema & increased ICP |A02=Monitor ICP, CPP & cerebral oxygenation <br><br>Elevate head end to 30° <br><br>*Monitor fluid status <br><br>*3% NS <br><br>*Avoid NGT and suction }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | | | | | | | |,|-|-|-| A01 |-|-|-|-| A02 | | | | | | | | | | | | | | | | | | | | | | |A01=Cerebral edema & increased ICP |A02=Monitor ICP, CPP & cerebral oxygenation <br><br>Elevate head end to 30° <br><br>*Monitor fluid status <br><br>*3% NS <br><br>*Avoid NGT and suction }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | |)|-|-|-| B01 |-|-|-|-| B02 | | | | | | | | | | | | | | | | | | | | | | |B01=Coagulopathy |B02=Platelet count & coagulation profile (12th hourly) <BR><br>Inj. Vit. K <BR><br>Cryoprecipitate| | | | | | | | }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | | | | | | | |)|-|-|-| B01 |-|-|-|-| B02 | | | | | | | | | | | | | | | | | | | | | | |B01=Coagulopathy |B02=Platelet count & coagulation profile (12th hourly) <BR><br>Inj. Vit. K <BR><br>Cryoprecipitate| | | | | | | | }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | |)|-|-|-| C01 |-|-|-|-| C02 | | | | | | | | | | | | | | | | | | | | | | |C01=Drugs |C02=Discontinue medications <BR><br>Avoid nephrotoxic & hepatotoxic drugs }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | | | | | | | |)|-|-|-| C01 |-|-|-|-| C02 | | | | | | | | | | | | | | | | | | | | | | |C01=Drugs |C02=Discontinue medications <BR><br>Avoid nephrotoxic & hepatotoxic drugs }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | |)|-|-|-| D01 |-|-|-|-| D02 | | | | | | | | | | | | | | | | | | | | | | |D01=GI bleeding |D02=Ranitidine }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | | | | | | | |)|-|-|-| D01 |-|-|-|-| D02 | | | | | | | | | | | | | | | | | | | | | | |D01=GI bleeding |D02=Ranitidine }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | |)|-|-|-| E01 |-|-|-|-| E02 | | | | | | | | | | | | | | | | | | | | | | |E01=Hemodynamic instability |E02=Monitor CVP w/ central venous catheter }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | | | | | | | |)|-|-|-| E01 |-|-|-|-| E02 | | | | | | | | | | | | | | | | | | | | | | |E01=Hemodynamic instability |E02=Monitor CVP w/ central venous catheter }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | F01 |-|-|-|-|+|-|-|-| F02 |-|-|-|-| F03 | | | | | | | | | | | | | | | | | | | | | | |F01=Continuous monitoring under quite environment w/ preventive treatment strategies |F02=Hepatic encephalopathy |F03=*Frequent monitoring of mental status }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | F01 |-|-|-|-|+|-|-|-| F02 |-|-|-|-| F03 | | | | | | | | | | | | | | | | | | | | | | |F01=Continuous monitoring under quite environment w/ preventive treatment strategies |F02=Hepatic encephalopathy |F03=*Frequent monitoring of mental status }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | |)|-|-|-| G01 |-|-|-|-| G02 | | | | | | | | | | | | | | | | | | | | | | |G01=Infections |G02=CBC (12th hourly) <BR><br>CXR; sputum, blood & urine cultures (daily) <BR><br> Cefotaxime, meropenem, fluconazole or vancomycin }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | | | | | | | |)|-|-|-| G01 |-|-|-|-| G02 | | | | | | | | | | | | | | | | | | | | | | |G01=Infections |G02=CBC (12th hourly) <BR><br>CXR; sputum, blood & urine cultures (daily) <BR><br> Cefotaxime, meropenem, fluconazole or vancomycin }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | |)|-|-|-| H01 |-|-|-|-| H02 | | | | | | | | | | | | | | | | | | | | | | |H01=Metabolic disturbances |H02=Serum BCH, ABG, lactate (12th hourly) <br><BR>Serum glucose (2nd hourly) }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | | | | | | | |)|-|-|-| H01 |-|-|-|-| H02 | | | | | | | | | | | | | | | | | | | | | | |H01=Metabolic disturbances |H02=Serum BCH, ABG, lactate (12th hourly) <br><BR>Serum glucose (2nd hourly) }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | |)|-|-|-| I01 |-|-|-|-| I02 | | | | | | | | | | | | | | | | | | | | | | |I01=NAC |I02=NAC (i.v × 2d then P.O.) }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | | | | | | | |)|-|-|-| I01 |-|-|-|-| I02 | | | | | | | | | | | | | | | | | | | | | | |I01=NAC |I02=NAC (i.v × 2d then P.O.) }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | |)|-|-|-| J01 |-|-|-|-| J02 | | | | | | | | | | | | | | | | | | | | | | |J01=Nutritional deficiency |J02=Eternal feeding <BR><br>Parental feeding }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | | | | | | | |)|-|-|-| J01 |-|-|-|-| J02 | | | | | | | | | | | | | | | | | | | | | | |J01=Nutritional deficiency |J02=Eternal feeding <BR><br>Parental feeding }} | ||
{{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | |`|-|-|-| K01 |-|-|-|-| K02 | | | | | | | | | | | | | | | | | | | | | | |K01=Renal failure |K02=Urinary I/O }} | {{familytree |boxstyle=background: #eee; border: 1px solid #ccc; border-radius: 0.5em; | | | | | | | | | |`|-|-|-| K01 |-|-|-|-| K02 | | | | | | | | | | | | | | | | | | | | | | |K01=Renal failure |K02=Urinary I/O }} | ||
{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | ||
{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} | {{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }} |
Revision as of 16:43, 9 December 2013
Cerebral edema & increased ICP | Monitor ICP, CPP & cerebral oxygenation Elevate head end to 30° *Monitor fluid status *3% NS *Avoid NGT and suction | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Coagulopathy | Platelet count & coagulation profile (12th hourly) Inj. Vit. K Cryoprecipitate | {{{ }}} | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Drugs | Discontinue medications Avoid nephrotoxic & hepatotoxic drugs | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
GI bleeding | Ranitidine | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Hemodynamic instability | Monitor CVP w/ central venous catheter | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Continuous monitoring under quite environment w/ preventive treatment strategies | Hepatic encephalopathy | *Frequent monitoring of mental status | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Infections | CBC (12th hourly) CXR; sputum, blood & urine cultures (daily) Cefotaxime, meropenem, fluconazole or vancomycin | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Metabolic disturbances | Serum BCH, ABG, lactate (12th hourly) Serum glucose (2nd hourly) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
NAC | NAC (i.v × 2d then P.O.) | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Nutritional deficiency | Eternal feeding Parental feeding | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Renal failure | Urinary I/O | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||