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3.3.1 when patients ssDb:
nc all patients in the extraction and recognition to gather votes nc administrative, medical history, medication history, history ssDb enter, the co-morbidities (such as diabetes, high ha, bptnmt, tuberculosis, liver failure, kidney failure, cancer, alcoholism, ...).
identify surgery patients (pt) or emergency abdominal program, the number of patients leaving the department to ssDb pt, its causes and diagnosis ssDb admission; cause of intubation and mechanical ventilation.
Review status general clinical through circuits, temperature, ha, SpO2, arterial blood gases. Ii apache and assess the status of agency dysfunction.evaluation criteria respiratory failure and shock: (1) respiratory depression (respiratory rate ≤ 5 times / min or ≥ 49 times / min, or PaCO2 ≥ 50 mmHg and PaO 2 <60mmhg or when requiring mechanical ventilation). (2) shock (SBP <90 mmHg or need transportation> 4 hours or urine volume <80 ml in 4 hours without explanation).
gram staining,sputum culture and chest x-ray first to assess lung infections, tuberculosis, and to remove from nc to implement controls for the second time after 48 hours ssDb enter. perform the necessary tests in accordance with the patients entered ssDb as biochemical, hematological, and ks map inspired culture of urine samples, blood, wound,Services wounds.
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