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+--- 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