Clinical Pathway DHF

 

@JFCF@GJ QG[MRGV KDCBTD MDNLUGBF@ HDXDU (KMH) Cl. UN?

Cgng Qgsfdc  Odcfs Idjgnfc [gcbbgj Jgmfr Kfgbclsg Ngsui UP

EE [E [bj.Ngsui [bj.Idjugr

Ib @n ogn ogn

Ilkd F@K?

Qdcygift Ttgng

mgrf

Jgng rgwgt Ilkd F@K?

Qdcygift Qdcydrtg

Udc`gcg Ugwgt

Ilnpjfigsf

Ilkd F@K? U.Ugwgt/Ijgs Ilkd F@K?

[fckgigc Kfdtgry @lucsdjfcb gck Purvdfjjgc`d

 

/ 

Vg/[fkgi

Uuouigc Ilkd F@K? _27.0

MGUF QDCVGIF[

IDBFG[GC

TUGFGC IDBFG[GC

7

e. GPDPNDC GRGJ IDQDUGRG[GC

5. JGELUG[LUFTN 0. UGKFLJLBF/ FNGBFCB ;. ILCPT ILCPTJ[GPF J[GPF

0

; 4   8

2

ID[DUGCBGC

MGUF UGRG[

7

7. GPDPNDC GRGJ g. GPDPNDC GRGJ NDKFP

5 5

0

; 4   8

2

Klitdr FBK

Qgsfdc ngsui vfg FBK

Klitdr Ppdsfgjfs Qdrgwgt Qrfndr? Ilckfsf unun (kdngn, tgckg pdrkgrgmgc), tfcbigt idsgkgrgc, tgckg-tgckg vftgj, rfwgygt gjdrbf, rfwgygt trgcshusf, sirfcfcb bfzf, cydrf, stgtus hucbsflcgj? egrtdj fckdx, rfsfil ogtum, rfsfil kd`ueftus, ideutumgc dkuigsf kgc eukgyg. Kgrgm Jdcbigp (Me, Mdngtlirft, RE@, [rlneslsft)

Qsfdc ngsui vfg UO

Kfjgcoutigc kdcbgc gsdsndc efl-psfil-slsfgj, spfrftugj kgc eukgyg

Pdrljlbf (Fb B, Fb N, Fb D,) Hltl [mlrgx GQ

4. GPDPN GPDPNDC DC JGCOT JGCOT[GC [GC g. GPDPNDC

Klitdr KQOQ Klitdr clc KQOQ/kr. Uugcbgc

Xfsftd mgrfgc/ Hljjlw up Gtgs Fckfigsf/ Dndrbdc`y

e. GPDPNDC IDQDUGRG[GC

Qdrgwgt Qdcgcbbucb Ogwge

Kfjgiuigc kgjgn 0 Pmfht

NDKFP

 

`.

k.

GPDPNDC B BFF_F

GPDPNDC HGUNGPF

8. KFGBCLPFP g. KFGBCLPFP NDKFP

[dcgbg Bfzf ((C Cutrfsflcfs/K /Kffdtfsfdc)

[djggm Udsdp Udilcsfjfgsf Legt

Kdngn edrkgrgm Brgkd 7& 5 Ilkd (11112) ? Mfpdrtdrnfg Ilkd (11154) ? Udsfil Idiurgcbgc Xljund @gfrgc

e. KFGBCLPFP IDQDUGRG[GC

Ilkd (11518) ? Udsfil Qdrkgrgmgc

Ngsgjgm idpdrgwgtgc ygcb kfounpgf sdtfgp mgrf. Kfeugt ljdm pdrgwgt pdcgcbbucb  ogwge. Ndcbg`u pgkg kfgbclsfs CGCKG Fctdrcgsflcgj

Ilkd (11705) ? Cydrf Giut

`. KFG FGBC BCL LPF PFPP BF_F F_F * Mgck Mybfcd, Pgnpgm Ndkfs & Clc Ndkfs, Lrfdctgsf Uugcbgc, Mgi kgc Idwgofegc Qgsfdc & Idjugrbg

2. KFP@MGUBD QJGCCFCB

** Dkuigsf tdrigft pdcygift KMH (kdhfcfsf, tgckg bdogjg, pdcydege, pdndrfisggc pdcucogcb, pdcgtgjgisgcggc, pdc`dbgmgc, ilnpjfigsf) Dkuigsf tdrigft mgsfj pdndrfisggc pdcucogcb (Jgelrgtlrfun, Ugkfljlbf) Dkuigsf fctdrvdcsf ygcb gigc kfjgiuigc idpgkg pgsfdc (fctdrvdcsf ndkfs, idpdrgwgtgc, hgrngsf, kgc bfzf) *** Qdndcumgc cutrfsf kgc `gfrgc ygcb gkdiugt Qdcfcbigtgc idedrsfmgc rungm (0N) Ilctrlj sdjgcoutcyg id pljf unun

Qrlbrgn pdckfkfigc pgsfdc kgc idjugrbg

=. DKTIGPF [DUFC[DBUGPF Qdcodjgsgc Kfgbclsfs g. DKTIGPF/

Ljdm sdnug pdnedrf gsumgc edrkgsgrigc

Udc`gcg tdrgpf

ideutumgc kgc oubg

Fchlrndk @lcsdct

edrkgsgrigc Kfs`mgrbd Qjgccfcb.

 

FCHLUNGPF NDKFP

e. DKTIGPF & ILCP IL CPDJ DJFC FCB B BF_F F_F

Ngigcgc jucgi/ngigcgc efgsg kdcb kdcbgc gc bf bfzf zf sdfn sdfneegcb gcb g. Qdcfcbigtgc fctgid cutrfsf & `gfrgc

`. DKTIGPF IDQDUGRG[GC

e. [frgm egrfcb (Edkrdst) `. Ilnprds gfr mgcbgt uctu uctuii ndcburgcbf kdngn

Qdcbfsfgc kgc hlrnujfr fchlrngsf dkuigsf tdrfctdbrgsf ljdm pgsfdc kgc gtgu idjugrbg

Fchlrngsf Legt k. DKTIGPF HGUNGPF QDCBFPFGC HLU-NTJFU FCHLUNGPF KGC DKTIGPF [DUFC[DBUGPF

Ilcsdjfcb Legt Jdnegr Dkuigsf [drfctdbrgsf

K[[ Idjugrbg/Qgsfdc

6. [DUGQF NDKFIG NDC[LPG g.

FCODIPF

e. @GFUGC FCHTP

`.

LEG[ LUGJ

Qgrg`dtgnlj 71 - 74 nb/ib EE/ fctrgvdcg UJ Qgrg`dtgnlj 71 -74 nb/ib EE/ igjf/lrgj

k. UD@[GJ 71.[G[GJGIPGCG/FC[DUXDCPF ([JF) g. [JF NDKFP Ilkd CF@ (02;1) ? Qdrgwgtgc Kdngn Ilkd CF@ (;751) ? Ngcgodndc @gfrgc Ilkd CF@ (7;11) ? Ngcgodndc Cydrf Ilkd CF@ (;171) ? Qdc`dbgmgc Qdrkgrgmgc Ilkd CF@ (;761) ? Qdngsgcbgc Fchus FX jfcd kdcbgc `gfrgc UJ e. [JF IDQDUGRG[GC

Ilkd CF@ (501;)? Ndkf`gtflc ? Lrgj Ilkd CF@ (507;) (507;) ? Qdnedrfgc Legt FX

`. [JF BF_F

Ndcbg`u pgkg CF@

 

77. NLCF[LUFCB & DXGJTGPF (Nlcftlr Qdridnegcbgc Qgsfdc) Gsdsndc Tjgcb & Udvfdw Xdrfhfigsf g. KLI[DU KQOQ Udc`gcg Gsumgc g. [[X [[X ((td tdru rutg tgng ng sumu sumu)) e. [urblr iujft egfi e. IDQDUGRG[GC

Ndcbg`u pgkg CL@

`. Cydrf edriurgcb  k. [gckg pdrkgrgmgc cdbgtfh Nlcftlrfcb gsupgc ngigc Nlcftlrfcb Gctrlplndtrf Nlcftlrfcb Eflifnfg

`. BF_F Nlcftlrfcb Hfsfi/ijfcfs tdrigft bfzf

Nlcftlrfcb Fctdrgisf Legt k. HGUNGPF

Nlcftlrfcb Dhdi Pgnpfcb Legt Qdngctgugc [drgpf Legt

75. NLEFJFPGPF/ UDMGEFJF[GPF g. NDKFP e. IDQDU DQDUGR GRG[ G[GC GC Nle lefj fjfs fsgs gsff sds sdsug ugff tlj ljdr drgc gcssf `. HFPFL[DUGQF 70. LT[@LND/MGPFJ

g. NDKFP

e. IDQDUGRG[GC

[gmgpgc nlefjfsgsf sdsugf ilckfsf pgsfdc

[dbgicyg kfgbclsfs edrkgsgrigc gcgncdsfs kgc pdndrfisggc hfsfi kgc pdndrfisggc pdcucogcb ygcb ndckuiucb [[X egfi, fctgid egfi, nlefjfsgsf egfi CL@ ? [drnlrdbujgsf CL@ ? Idsdfnegcbgc @gfrgc

Ndcbg`u pgkg CL@ Kfjgiuigc kgjgn 0 smfht

CL@ ? [fcbigt Cydrf   CL@ ? I Ilgbujgsf lgbujgsf Kgrgm

`. BF_F

Gsupgc ngigc 3 =1% Gsupgc `gfrgc & cutrfsf gkdiugt Ptgtus Bfzf Lptfngj

k. HGUNGPF

[drgpf legt sdsugf fckfigsf

7;. IUF[DUFG QTJGCB

Legt rgsflcgj Tnun ? [gckg vftgj egfi, fctgid cutrfsf kgc `gfrgc egfi, nlefjfsgsf egfi Imusus ? [fkgi gkg tgckg pdrkgrgmgc, mgsfj pdndrfisggc trlnelsft 3 711.111

74. UDC@GCG

Udsund Ndkfs kgc Idpdrgwgtgc

Ptgtus pgsfdc/tgckg vftgj sdsugf kdcbgc QQI

Qgsfdc ndnegwg Udsund

 

QTJGCB/

Qdcodjgsgc kfedrfigc sdsugf kdcbgc idgkggc unun pgsfdc

DKTIGPF QDJGVGCGC JGCOT[GC

Purgt pdcbgctgr `lctrlj

Qdrgwgtgc/ Purgt Uuouigc /Purgt Ilctrlj/Mlnd`grd sggt pujgcb.

XGUFGC

 \\\\\\\\\\\\, \\\\\\\\\\\\\, \\\\\\  Klit Kl itdr dr Qd Qdcg cgcbb cbbuc ucbb OOgw gwge ge Qdjg Qdjgygc ygcgc gc

(\\\\\\\\\\\\\\\\\\\\) Idtdrgcbgc ?

∟

Vgcb mgrus kfjgiuigc Efsg gtgu tfkgi Efjg sukgm kfjgiuigc

Qdrgw Qdrgwgt gt Qdcg Qdcgcb cbbu bucb cb Og Ogwg wgee

Qdjgisgcg Xdrfvfigsf Xdrfvfigsf

(\\\\\\\\\\\\\\\\\\)

(\\\\\\\\\\\\\\)

 

Cl

7

Kfgbclsg

Dtfljlbf

Idpdrgwgtgc Mfpdrtdrnfg

Xfrus kdcbud kfegwg ljdm cygnui  Gdkds gdbyptf ngsui ngsui id tueum pgsfdc

Kgtg pgsfdc

Igrgitdrfstfi KP ? -

← Xfrus edrdkgr kgjgn gjfrgc kgrgm ←

tdrgsg pgcgs / kdngn KL ? -

[drogkf fchdisf vfrus / pdrgkgcbgc pdrgkgcbgc kgjgn tueum ← Udgisf fchjgngsf ←

-

Iujft idndrgmgc

-

Pumu iujft tdrgeg mgcbgt

-

[gifigrkf

-

Qdcfcbigtgc

-

Idiurgcbgc Xljund @gfrgc

[drogkf fchdisf vfrus / pdrgkgcbgc pdrgkgcbgc kgjgn tueum ←

← Qdrndgefjftgs ndnergc ndcfcbigt ←  Gkgcyg pdrpfckgmgc pdrpfckgmgc pjgsng pjgsng kgc djditrljft kgrf fctrgsdj id distrgsdj

-

Qgsf Qg sfdc dc

-

Qgsfdc ndcbgtgigc tfkgi cghsu ngigc kgc nfcun

KL ? -

[urblr

iujft

idrfcb

/

tf tfk kgi

clrngj -

Mgsfj egjgc`d `gfrgc > - (nfcus)

-

Mgsf Mg sfjj

pdnd pdndrf rfis isgg ggc c

kfegwgm egtgs clrngj

← Udsfil idiurgcbgc vljund `gfrgc

Xfrus edrdkgr kgjgn gjfrgc kgrgm

ndrg ndrgsg sg

nugj kgc sdjgju fcbfc nuctgm

[ueum ndcbgjgnf mfplvljdnf

Cydrf Giut

ndcb ndcbgt gtgi gigc gc

KP ?

←

0

jdui jduils lsft ft

Igrgitdrfstfi?

Mfpltgjgnus ndrgcbsgcb uctui ndcgfiigc sumu tueum

egmw egmwg g

ndcfcbigt

Udgisf fchjgngsf ←

cghgs

Mgsfj pdndrfisggc jgelrgtlrfun jgelrgtlrfun ndcy nd cygt gtgi gigc gc

Mfpdrtdrnf Udsfil

hrdiudcsf

(UU)

←

5

Idcgfigc sumu tueum kfgtgs rdctgcb clrngj

Mfpltgjgnus ndrgcbsgcb uctui ndcgfiigc sumu tueum

Qgsfdc ndcbgtgigc egkgccyg

Igrgitdrfstfi

djdi djditr trlj ljft ft

 

← [drogkf fchdisf vfrus / pdrgkgcbgc pdrgkgcbgc

KP ? -

kgjgn tueum

Qgsf Qg sfdc dc

ndcb ndcbgt gtgi gigc gc

ndrg ndrgsg sg

cydrf pgkg uju mgtf, ltlt, sdckf

← Udgisf fchjgngsf

KL?

← Qdjdpgsgc ndkfgtlr ifnfg cydrf ←

-

Qgsfdc tgnpgi idsgiftgc

-

[digcgc kgrgm kgc cgkf jdefm

Ndcdigc sygrgh (hrdd cdrvd) ←

ndrfcbfs

kgrf egtgs clrngj -

Pumu ndcfcbigt

Pgift pgkg ltlt / sdckf ← ;

Udsfil Qdrkgrgmgc

Cydrf Giut Udgisf fchjgngsf ←

Hgitlr Udsfil ? -

Mfpltgjgnus ndrgcbsgcb uctui ndcgfiigc sumu tueum ← Qdrndgefjftgs ndnergc ndcfcbigt ← Ounjgm trlnelsft kf fctrgvgsiujdr  fctrgvgsiujdr  ndcuruc ← [rlnelsftlpdcf ← Qdrkgrgmgc busf, ndjdcg, mdngtdndsfs ← Udsfil Qdrkgrgmgc

Mgsfj pdndrfisggc trlnelsft : 711.111

-

Qgsfd Qg sfdc c edrkgrgm

ndcbg ndcbgtgi tgigc gc

busfcy busfcyg g