TN0654 SNAKE BITE REQUIRING VENTILLATORY SUPPORT
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% BREAKUP AMOUNT - CLAIMS	POINTS AWARDED	SPECIAL MENTION
LOCAL FANG MARK / SWELLING WITH PAIN OVER BITTEN AREA / DIFFICULT IN BREATHING /	CLINICAL PHOTO SHOWING PTOSIS/ FANG MARK / AND ON VENTILLATOR / BT / CT /	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	coagulation profile	30
			RFT / other blood and urine tests - Hb, tc dc esr, urine for rbc, albumin		mandatory
			ABG		mandatory
			EEG ON 2ND DAY OF VENTILLATION AND PRIOR TO DISCHARGE
			CT SCAN BRAIN - IF REQUIRED
			CXR		mandatory
		TREATMENT	inj. neostigmine + atropine	50	mandatory
			I.V fluids + antibiotics + other supportive care
			debridement of bitten area
			ASV		mandatory
			IONOTROPES
			mechanical ventillation		mandatory