TN0649 METABOLIC COMA REQUIRING VENTILLATION
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% BREAKUP AMOUNT - CLAIMS	POINTS AWARDED< /th>	SPECIAL MENTION
ALTERED SENSORIUM , UNCONSCIOUSNESS	CXR / ABG / CLINICAL PHOTO / BLOOD ELECTROLYTE LEVELS / BLOOD AMMONIA LEVEL / RFT	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	General Work UP+RFT+LFT+ECG+ ammonia level	30	mandatory
			ABG
			EEG or CT SCAN brain		mandatory
			Repeat electrolytes / ammonia / bld sugar / RFT / LFT		mandatory
			CXR
		TREATMENT	Ionotrophs	50
			i.v fluids+antibiotics		mandatory