08-04-2009, 07:54 PM
08-04-2009, 09:46 PM
Nobody has done this? Surprising. It would be a good exercise.
I have questions regarding case 3 (boy with ITP).
After admitting and starting methylprednisolone and IVIG, he responds within 24 hours. His platelets go from 20k to 56k. 24h later, he goes to 90k.
At this point, I want to d/c him to be managed as outpatient, but I keep seeing stool is positive for blood. He H&H is stable though, so I think he can go home. At this point how should he be managed? Continue IV meds? D/C IV meds and start PO prednisone? Or should he stay in the hospital?
Any thoughts?
I have questions regarding case 3 (boy with ITP).
After admitting and starting methylprednisolone and IVIG, he responds within 24 hours. His platelets go from 20k to 56k. 24h later, he goes to 90k.
At this point, I want to d/c him to be managed as outpatient, but I keep seeing stool is positive for blood. He H&H is stable though, so I think he can go home. At this point how should he be managed? Continue IV meds? D/C IV meds and start PO prednisone? Or should he stay in the hospital?
Any thoughts?
08-04-2009, 10:45 PM
in childern
we dont admit or use ivig or perdenisone (in adults we do)
dircet nasal pressure
reassue
cbc q day
see the pt after 4-5 days
do pt ptt
send him home
thats it
we dont admit or use ivig or perdenisone (in adults we do)
dircet nasal pressure
reassue
cbc q day
see the pt after 4-5 days
do pt ptt
send him home
thats it
08-04-2009, 10:58 PM
sorry i aplogize, i just eviewed the case, he is bleeding actively so
u can give either
send him home next day the rest the same
u dont give all of the 3 treatments togother
u can give either
send him home next day the rest the same
u dont give all of the 3 treatments togother