TN 0396 SEPTIC SHOCK/ INFECTIVE ENDOCARDITIS (VENTILATED) | ||||||
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PREAUTH | CLAIMS | |||||
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
ALOC, FEVER, TOXEMIA, PERIPHERAL FAILURE | CLINICAL PHOTO, CBC, CXR, ECHO SOS | TOTAL BED DAYS | > 5 | 20 | ||
DAYS IN ICU | discretion of treating doctor | |||||
DAYS UNDER VENTILATOR SUPPORT | ||||||
INVESTIGATIONS | GENERAL WORK UP + ECG + ELECTROLYTES + CRP + ABG+blood c/s | 30 | mandatory | |||
ECHO | mandatory | |||||
CARDIAC ENZYMES | ||||||
Rpt ABG | mandatory | |||||
TREATMENT | SUPPORTIVE CARE | 50 | ||||
IV ANTIBIOTICS | mandatory | |||||
IONOTROPES | mandatory | |||||
ANTIFAILURE TREATMENT | ||||||
MECHANICAL VENTILLATION | mandatory | |||||