1. NTUH DFPP (HF440)
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NTUH DFPP (HF440) Checklist: [ ]Permit (DLC,DFPP,自費同意書16030) [ ]IV access [ ]No active bleeding (coagulopathy, CVA<2wks, major surgery<2wks) 1. Indication: [ ]SLE CNS involvement [ ]Myasthenia gravis crisis [ ]Macroglobulinaemia [ ]RPGN [ ]Goodpasture’s dz [ ]Multiple myeloma [ ]GBS [ ]TTP [ ]MS / NMO [ ]ABO-incompatible transplant prep [ ]AMR (Transplant) [ ]Other:__________ 2. Schedule: __________ 3. Targeted Plasma Volume: ________ mL (1~1.5 * Plasma Vol) *Formula: WB*(1-Hct); WB=2370 or 2740 * sqrt(Ht*Wt/3600) 4. Separator: LP050; Fractionator: Evaflux 4A 5. Anticoagulant: [v]Routine [ ]Free [ ]Load/Main: ____/____ 6. Lab Study Suggestion: - Pre-1st: PLT, Fibrinogen, PT, Alb - Pre-3rd: PLT, Fibrinogen, PT, Alb - Pre-5th: PLT, Fibrinogen, PT *If bleeding suspected: Check PLT, Fib, PT/aPTT anytime. *If Fib<100 -> Cryo 10U; If <50 -> Cryo 20U & recheck.
2. NTUH Plasma Exchange (PE)
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NTUH Plasma Exchange (PE) (HF440) Checklist: [ ]Permit (DLC,PE,自費同意書10082) [ ]IV access [ ]No active bleeding (coagulopathy, CVA<2wks, major surgery<2wks) 1. Indication: [ ]SLE CNS involvement [ ]Myasthenia gravis crisis [ ]Macroglobulinaemia [ ]RPGN [ ]Goodpasture’s dz [ ]Multiple myeloma [ ]GBS [ ]TTP [ ]MS / NMO [ ]ABO-incompatible transplant prep [ ]AMR (Transplant) [ ]Other:__________ 2. Schedule: __________ 3. Targeted Plasma Volume: ________ mL (1~1.5 * Plasma Vol) *High-vol: 8~12L or 15% IBW 4. Replacement: FFP ___U (=Target Vol / 110-120mL) *Call 62919/62920 for FFP pick-up. *Note ABO-incompatibility in system if needed. 5. Separator: LP050 6. Premedications: [ ]CaCl2 ___amp in D5W (If during PE) [ ]Diphenhydramine 1 amp (Pre-PE) [ ]Solu-cortef 1 amp (Pre-PE) 7. Anticoagulant: [ ]Routine [v]Free [ ]Load/Main: ____/____
3. Physical Examination (PE)
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Gen: Acute ill-looking, conscious clear, GCS E4V5M6. HEENT: Conjunctiva not pale, sclera anicteric, oral mucosa moist. Neck: Supple, (-) JVE, (-) LAP. Chest: Sym. expansion, BS clear b/l, (-) crackles/wheezes. Heart: RRR, (-) murmur/gallop. Abd: Soft, flat, non-tender, BS normoactive, (-) hepatosplenomegaly. Ext: Warm, freely movable, (-) pitting edema, (-) cyanosis. Skin: No rash, no petechiae.
4. Review of Systems (ROS)
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Gen: (-) Fever, (-) chills, (-) BW loss. Resp: (-) Cough, (-) sputum, (-) dyspnea. CV: (-) Chest pain/tightness, (-) palpitations, (-) orthopnea. GI: (-) Abd pain, (-) N/V/D, (-) tarry/bloody stool. GU: (-) Dysuria, (-) frequency, (-) urgency. Neuro: (-) Headache, (-) dizziness, (-) limb weakness.
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