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CCS Sinus infectn that also presented with asthma - usamle7 - Printable Version +- USMLE Forum - Largest USMLE Community (https://www.usmleforum.com) +-- Forum: USMLE Forum (https://www.usmleforum.com/forumdisplay.php?fid=1) +--- Forum: Step 3 (https://www.usmleforum.com/forumdisplay.php?fid=6) +--- Thread: CCS Sinus infectn that also presented with asthma - usamle7 (/showthread.php?tid=365537) |
CCS Sinus infectn that also presented with asthma - usamle7 - ArchivalUser - 12-02-2008 Was on someones exam.... Pls Try 0 - ArchivalUser - 12-02-2008 Office PE focused Transfer to ER Oxygen pulse oxymetry IVA EKG CXR Finish PE CBC BMP UA ABG CT sinuses albuterol nebulization ipatropium nebulization IV methylprednisolone Amoxicilin PEFT FEV Once stable transfer to ward PEFT counsel consult pulm ambulate at will 3rd day Home DC IV Medx MDI steroids Change to PO medx 5 min screen counsel consult vacci f/u 0 - ArchivalUser - 12-02-2008 Great....I was just worried if you need to transfer the patient to the hospital or Rx as outpatient. The person who got this (read in this forum) said that he gave nebuliser and sent the pt back home on amox.... 0 - ArchivalUser - 12-02-2008 ER pulse oxiQ1 oxygen iv access cardiac monitor blood pressure monitor albuterol inhalation foccused PE general appearance Heent/neck chest heart abdomen extremities admit to ICU npo urine output bedrest with bathroom privilege nss pefr fev1 iv ranitidine cbc cmp blood culture chest x ray sinus x ray acetaminophen amox-clav iv if no response to albuterol start ipratopium inhalation pulmonology consult change antibiotic depending upon culture reports C RATED SEX 0 - ArchivalUser - 12-02-2008 why do you need to send it to ER , why cant it be managed as an outpatient...rest depends on the vitals and sick the patient is ..also the age is a factor ...I think. Any inputs /comments |