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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
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
DISEASE APTTERN OF ADMITTING PATIENTDISEASE APTTERN OF ADMITTING PATIENT
1Aplastic anaemia
1Wilms tumour
1Nonhodgkins lymphoma
2ALL
1Viral hepatitis
3Perinatal Asphyxia
2Septicaemia
3Pneumonia
10AGE
Jannatul, a 4 months old young neonate
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
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
RX given-RX given- inj. Oradexone inj. Oradexone Inj. Lasix Inj. Lasix O O22 inhalation cont. inhalation cont.
Propped up position Propped up position
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.