hardhead
Forum Senior
Topics: 21
Posts: 152
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When should we send home the ITP patient from the practice CD. when is close to 30,000 the case ends... are whe not suposed to discharge the patient in this scenario? just monitor PLT count in the ward? and why does the BP stays in 90/60 the hole time even with iv fluids?
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| gingko
Forum Senior
Topics: 13
Posts: 226
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because it is a child, the ITP is likely to be self-remitting, without serious bleeding risk and a post viral reaction..also when u monitor the platelet count, it is not deteriorating, so as soon as the nose bleed stops, u have thoroughly evaluated the patient, the platelet count remains stable..u can discharge the patient with followup appointment and CBC after a week..if the case doesnt end and they show up..do the CBC, if it is normal, no need for further follow-ups..
the BP, though i am not sure is normal for the age group..just double check and make sure...if there are no signs of volume depletion like postural fall etc..dont give fluids.
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