TN0730 HYPEROSMOLAR NON-KETOTIC COMA
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
ALTERED SENSORIUM OR COMA, H/O UNCONTROLLED DIABETES MELLITUS	BLOOD SUGAR - CBG MORE THAN 600MG/DL, ELECTROLYTES, PLASMA OSMOLARITY - MEASURED MORE THAN 320 , URINE KETONE BODIES - NEGATIVE , ABG	TOTAL BED DAYS		20
		BEDS IN ICU
		INVESTIGATIONS	GENERAL WORK UP	30	mandatory	INCLUDING ABG, CXR, PLASMA OSMOLARITY, URINE ACETONE, ECG
			CONTINOUS GLUCOSE & ELECTROLYTES MONITORING		mandatory
			BLOOD CULTURES
			CT SCAN BRAIN
			ECHO
		TREATMENT	CORRECTION OF DEHYDRATION	50	mandatory	I.V FLUIDS, ELECTROLYTE REPLACEMENT
			INSULIN THERAPY		mandatory
			TREATMENT OF UNDERLYING DISEASE
			MONITORING AND ASSESSMENT OF CVS, CNS, RENAL, PULMONARY
			OTHER SUPPORTIVE CARE