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.