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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| | | | | | | |  }}
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{{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 | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
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{{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 | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
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{{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 | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
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{{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 | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
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{{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 | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
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{{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 | | | | | | | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
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{{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 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | }}
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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