Page 399 - 2021 IDMT Digital
P. 399
HIGH ALTITUDE CEREBRAL EDEMA (HACE)
Introduction:
• 8QFRPPRQ EXW SRWHQWLDOO\ IDWDO DFFXPXODWLRQ RI IOXLG LQ EUDLQ
Subjective:
• 6LJQV DQG 6\PSWRPV
o 6HYHUH KHDGDFKH QDXVHD ZLWK YRPLWLQJ GHFUHDVHG DSSHWLWH DQG IDWLJXH
o 3URJUHVVLYH ZHDNQHVV FOXPVLQHVV FRQIXVLRQ DQG YLYLG KDOOXFLQDWLRQV
Objective:
• 3K\VLFDO ([DP
o %HKDYLRUal FKDQJHV DJLWDWLRQ RU ZLWKGUDZl GLVRULHQWDWLRQ DQG FRQIXVLRQ
o $WD[LD DEQRUPDO '75V GHFUHDVHG FRQVFLRXVQHVV
o &DQ KDYH UDOHV FRXJK DQG IURWK\ SLQN RU EORRG\ VSXWXP LI FRH[LVWLQJ
+$3(
Assessment:
• 'LIIHUHQWLDO
o +HDG WUDXPD FKHFN IRU ODFHUDWLRQV EUXLVLQJ GHSUHVVHG VNXOO
o ,QWR[LFDWLRQ KLVWRU\ RI LQJHVWLQJ PHGLFDWLRQV GUXJV RU DOFRKRO
o &DUERQ PRQR[LGH SRLVRQLQJ KLVWRU\ RI H[SRVXUH WR WR[LF IXPHV FKHUU\ UHG VNLQ
FRORU
o +\SRWKHUPLD ODFN RI KHDGDFKH DQG QDXVHD GHFUHDVHG ERG\ WHPSHUDWXUH
Plan:
• (YDFXDWH WR ORZHU DOWLWXGH LPPHGLDWHO\
• 2[\JHQ DW / PLQXWH E\ face PDVN LQVHUW (7 WXEH LI FRPDWRVH
• 'H[DPHWKDVRQH
• (9$& RU WUDQVIHU
Patient Education:
• (DUO\ UHFRJQLWLRQ RI WKH V\PSWRPV RI K\SR[LD DOORZV for HDUO\ LQWHUYHQWLRQ DQG
DYRLGV SHUIRUPDQFH GHFUHPHQW
Preceptor Directive:
• Red Directive: Immediate Evacuation; Contact Preceptor ASAP
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