This site uses cookies to improve your experience. To help us insure we adhere to various privacy regulations, please select your country/region of residence. If you do not select a country, we will assume you are from the United States. Select your Cookie Settings or view our Privacy Policy and Terms of Use.
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Used for the proper function of the website
Used for monitoring website traffic and interactions
Cookie Settings
Cookies and similar technologies are used on this website for proper function of the website, for tracking performance analytics and for marketing purposes. We and some of our third-party providers may use cookie data for various purposes. Please review the cookie settings below and choose your preference.
Strictly Necessary: Used for the proper function of the website
Performance/Analytics: Used for monitoring website traffic and interactions
Have a proforma so you don’t miss things Save a proforma (if electronic documentation ) or print one out. If they are dehydrated: give fluids; if they are in pain: give analgesia ; if theres an infection of unknown source: do a thorough examination & take cultures and samples from everywhere you can.
He has been ill for 3 days with abdominal pain, fever, diarrhea, and vomiting, and his father thinks his son is dehydrated. Exam documents that he is alert and oriented but “tired appearing” and “not appearing post-ictal.” Defense : The EP did address the seizure when he documented “not post-ictal.” EM is a “team sport.”
Kids < 5 years of age New onset of diabetes at presentation Longer duration of symptoms Severity of acidosis Elevated BUN Greater degree of dehydration and hyperventilation Cerebral Edema and DKA: Diagnostic Considerations Early detection and treatment is the best means to prevent brain injury and death.
Exam is normal except for tenderness as documented in the diagram. She never had a documented abdominal exam. She had no persistent vomiting, was not dehydrated and had no fever. I just failed to document it. The EP documented seeing the patient and agreed with the ARNP’s plan. Temp is 98.7 and pulse 121.
Failure to thrive’ has many definitions We use standardized charts to document infant growth. Are there signs of significant dehydration or malnutrition? If severely dehydrated or malnourished, then they require admission for close monitoring with rehydration and refeeding. First and foremost, do they look well or unwell?
This makes documentation and communication of the utmost importance for these patients for their health and safety. Oftentimes, it can be an indication of pain, infection, distress, anxiety, dehydration, or the first sign of sepsis. This leads into the next part of the model—Assessment. One commonly used example is tachycardia.
ICD-10 codes: F00-03 are the ICD codes for dementia and its subtypes F02. environmental factors, pain, infection, dehydration, electrolyte disturbance, head injury, medication etc) Does the individual have capacity? This article outlines the main factors related to the presentation, aetiology, and treatment of BPSD.
They stated that the patient was coded for 20 minutes, including multiple doses of epinephrine, and they also gave glucose, calcium, and bicarb. The most common to consider include renal failure, dehydration, acidosis, use of potassium-retaining medication, and trauma ( which may result in rhabdomyolysis ).
It is also sensible to advised to ensure good fluid intake throughout treatment to help avoid dehydration which can occur with laxatives. When prescribing drugs off licence, ensure you explain this to the patient/career and gain and document verbal consent. [8] 8] To whom should I refer for further investigation?
Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. 2 The astute paramedic recognized this possibility and announced a CODE STEMI. For instance: sepsis, bleeding, dehydration, hypoxia, and mild ACS. Look at the aortic outflow tract.
Vitamin D, B12, Calcium, foate, iron, and thiamine deficiencies are all well documented complications. Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. Jeff: Tachycardic patients should make you concerned for hypovolemia 2/2 dehydration, sepsis, leaks, and blood loss.
This is a child who is clearly dehydrated and unable to tolerate oral fluids therefore IV fluids are the best option. Maintenance Fluids In 1957, Malcolm Holliday and William Segar published an article in the Journal of Paediatrics, which claimed to be a simple scheme that could be easily remembered to calculate fluid requirements.
Most of the dehydration that occurs is more likely due to inadequate water intake and excess caffeine and alcohol consumption depending on the time of day. Jeff: Dehydration on long flights is likely due to inadequate water intake and the increased use of diuretics such as caffeine and alcohol. Nachi: Interesting. Nachi: Don’t judge.
In fact, cannabis use has been documented for medical use dating as far back as 600 BC in West and Central Asia. Jeff: The hyperemetic phase lasts 24-48 hours and can lead to dehydration, electrolyte abnormalities, and weight loss. Be sure to look for and treat dehydration, acute renal failure, and rhabdo though.
In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk.
Also consider non-hemorrhagic volume depletion, dehydration : orthostatic vitals may uncover this [see Mendu et al. (3)]. Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful. Vasovagal syncope is generally benign.
Reviews and opinion articles Use of POCUS for the assessment of dehydration in pediatric patients-a narrative review. Point-of-care brain ultrasound and transcranial doppler or color-coded doppler in critically ill neonates and children. You will find the list is broken down into four sections: 1.Reviews Musolino AM, et al. Pediatrics.
Infections, fever, acidosis, hypoxia, dehydration and exposure to extreme temperatures can trigger VOC even though often no cause is identified. Home analgesia: Advise families at home to increase fluid intake to avoid dehydration (dehydration will prolong painful episodes). Rotavirus gastroenteritis and dehydration C.
original document created by author of post. paclitaxel, doxorubicin, cisplatin) high-risk monoclonal antibody treatments (i.e. Disposition These patients should be admitted to the ICU for close monitoring of life-threatening arrhythmias, urine output, electrolytes every four to six hours, and aggressive fluid resuscitation (9).
Bruising- this can be common after a vaginal or instrumental birth or in babies who are large for gestational age, and should be documented carefully. If the fontanelle is sunken then the baby may be dehydrated and if they are bulging then this can be a sign of birth injury or hydrocephalus.
2 Beginning in January 2023, the DRC documented a record number of annual suspected cases of clade 1 mpox, specifically classified as Clade 1b. By 2024, over 17,000 suspected cases (2,863 confirmed) were documented across Africa, with the majority in the DRC.
4,5 Of particular concern is the Sudanese conflict, which began in April 2023, and which has caused the largest internal displacement of a population in documented history. 92 Refugee patients with SAM, dehydration, or shock should be admitted for further management. 91 SAM may also be identified based on end-organ manifestations.
We organize all of the trending information in your field so you don't have to. Join 5,000+ users and stay up to date on the latest articles your peers are reading.
You know about us, now we want to get to know you!
Let's personalize your content
Let's get even more personalized
We recognize your account from another site in our network, please click 'Send Email' below to continue with verifying your account and setting a password.
Let's personalize your content