| TN0647 OP POISONING REQUIRING VENTILLATION | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED | SPECIAL MENTION |
| PROFUSE SWEATING / DIAPHORESIS / VOMITING / H/O INSECTICIDAL POISON INGESTION | CXR / ABG / CLINICAL PHOTO / | TOTAL BED DAYS | 20 | |||
| BEDS IN ICU | ||||||
| DAYS UNDER VENTILATOR SUPPORT | ||||||
| INVESTIGATIONS | General Work UP | 30 | INCLUDES RFT | |||
| cholinesterase level | ||||||
| ABG | mandatory | |||||
| CXR | mandatory | |||||
| TREATMENT | Pralidoxamine therapy | 50 | mandatory | |||
| I.V fluids + Atropine | mandatory | |||||
| antibiotics | ||||||
| mechanical ventillation | mandatory | |||||