Skip to main content

Table 2 A summary of entries into a critically ill patient's chart in the post partum period

From: Local problems; local solutions: an innovative approach to investigating and addressing causes of maternal deaths in Zambia's Copperbelt

Day one-15.15
Delivered 7 days ago
Chronically ill looking, pallor, Chest- AE down bilaterally, dull on percussion, S1, S2 normal, pus aspirated on both sides
R/O (sic.Rule out) RVD (sic. HIV)
CXR, FBC,ESR,LFT,ICD,VCT,ATT
Day 2
VCT requested- Cotrimoxazole given
Day 3
Follow up lab tests, VCT
Day 4
No entry
Day 5
Follow up lab tests, VCT
Day 6
Follow up lab tests, VCT, consider ICD, Surgeon to see
Day 7
Repeat lab tests, VCT, surgeon to see, trace lab results
Day 8
Repeat lab tests, surgeon to see, trace lab results
Day 9
Repeat CXR, follow up on lab results, surgeon to see
Day 10
R/O RVD (sic HIV), follow up lab results, VCT, repeat U/E, LFT
Day 11
FBC/ESR, Urgent HB, CXR, Surgical consultation, Lasix, CST, O2 therapy
Day 12
Surgical consultation, CXR, Trace lab results
Day 13
VCT
Day 14
VCT, RPR, surgical consultation
Day 15
VCT, RPR
Day 16
Add slow K, Prednisolone
Day 17
(Not seen in am)
Certified dead at 14.26