death case review
TRANSCRIPT
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DEATH DISCUSSIONDEATH DISCUSSION Presented byPresented by
DR. Kiswar Farhana KeyaDR. Kiswar Farhana KeyaHonoearyHonoeary Medical officerMedical officer
Medical Unit-08Medical Unit-08
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131145
>5yr1yr-<5yr6m-<1yr1m-<6mNeonate
DDEATH DISCUSSION OF MU-8EATH DISCUSSION OF MU-8PERIOD- 20.03.09 - 26.03-09PERIOD- 20.03.09 - 26.03-09
Total Admission- 24Total Admission- 24Male- 17Male- 17Female-7Female-7
Current Death-01Current Death-01Age distribution of Admitting PatientAge distribution of Admitting Patient
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DISEASE APTTERN OF ADMITTING PATIENTDISEASE APTTERN OF ADMITTING PATIENT
1Aplastic anaemia
1Wilms tumour
1Nonhodgkins lymphoma
2ALL
1Viral hepatitis
3Perinatal Asphyxia
2Septicaemia
3Pneumonia
10AGE
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Jannatul, a 4 months old young neonate
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F/up: on 18/06/09F/up: on 18/06/09BI gas-BI gas- P PHH= 7.299= 7.299 PCO PCO22= 48.2= 48.2
PO PO22=20.7=20.7
HCO HCO33=21.5 mmol/L=21.5 mmol/L
BE= 4.8 mmol/L BE= 4.8 mmol/L
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After getting ABG report we contact After getting ABG report we contact with ICU but no bed was available with ICU but no bed was available
On F/up: on 18/06/09 at 11:00 AMOn F/up: on 18/06/09 at 11:00 AM The child was very ill, toxic dyspnic The child was very ill, toxic dyspnic and disoriented. and disoriented. R/R- 54/min R/R- 54/min H/R-90 b/min H/R-90 b/min Lungs- Bilateral creps (+) Lungs- Bilateral creps (+) Heart- NAD Heart- NAD
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RX given-RX given- inj. Oradexone inj. Oradexone Inj. Lasix Inj. Lasix O O22 inhalation cont. inhalation cont.
Propped up position Propped up position
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On F/up: on 18/06/09 at 1:30 PMOn F/up: on 18/06/09 at 1:30 PM The child was unconscious. The child was unconscious. There was no respiration. There was no respiration. Heart sound: Not audible. Heart sound: Not audible. Pupil: Fixed dilated and Non Pupil: Fixed dilated and Non reacting to light. reacting to light. CPR given CPR given AAt 1:40 PMt 1:40 PM Patient was declared dead. Patient was declared dead.