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Mortality

Mortality. Course in the PICU. Course in the PICU. Course in the PICU. Course in the PICU. Course in the PICU. Course in the PICU. 2 hours prior to Cardio-Pulmonary arrest. The patient is persistently febrile HR is 227 bpm BP 214/95mmHg RR: 45 bpm

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Mortality

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  1. Mortality

  2. Course in the PICU

  3. Course in the PICU

  4. Course in the PICU

  5. Course in the PICU

  6. Course in the PICU

  7. Course in the PICU

  8. 2 hours prior to Cardio-Pulmonary arrest • The patient is persistently febrile • HR is 227 bpm • BP 214/95mmHg • RR: 45 bpm • GCS 3, no response to pain, (+) corneal reflex, (+) alar flaring • Norepinephrine drip was adjusted accordingly.

  9. 1 hour prior to Cardio-Pulmonary arrest • The patient is persistently febrile • HR ranges from 200 -227bpm • BP is labile • RR: 35- 45 bpm • GCS 3, no response to pain, Pupils: 1-2mm briskly reactive to light, (+) alar flaring • Norepinephrine drip was adjusted accordingly.

  10. At 10:15AM ,the patient was noted to have decreasing hear rate (HR: 140bpm) which gradually decreased to 103bpm. • Within 2 minutes, asystole was noted. • HR:0, no spontaneous breathing, no pulses and blood pressure appreciated. • Cardio-Pulmonary resuscitation was started.

  11. Chest compressions and ambubagging were started. • Epinephrine doses were given every 2 minutes while during chest compressions • Norepinephrine drip was adjusted accordingly.

  12. 50 minutes of resuscitation • Sodium Bicarbonate 25 mEqs + 250ml PNSS via IV push was given.

  13. 54 mins of resuscitation • Calcium carbonate 1 gram + 10ml PNSS via IV was given for 15-30minutes • HGT done = 51 mg/dl • D10 water at 5 ml/kg or 62.5ml via IV given

  14. 1 hour and 25 mins after resuscitation • the patient remained asystole • HR:0, no spontaneous breathing, no pulses and blood pressure appreciated. • Parents decided to stop resuscitation • Patient pronounced dead at 11:43am. • Post mortem care rendered.

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