OPLObjectFile**)LOC::M:\OPL\REA.OPL7rSOAS%POTAC%MBO>NKBTPX%PTLPTCCREATCRCVID%HE <@OOOOO(OxOOW9OOO((OOW9OO O O(((OOO O O+KcalO (+NaCl(O+H2O2((+KClOOd|OBO2|O%|OOOOOO<|(|O-|O |SvI=JREACSTECHOCAMINOCLASSS%APOTACREATC%+ LE PATIENT 1+sexe =+ homme,femme3+age =O|Od|5+ poids kg =O |(|7+ taille cm =Od|(|9+ creat mg =O|OP|O;+ conditions=+"opr,dnutri,infect,brul,normalO;+ votre choix=+4REANIMATION,CONSTANTES,CHOC,AMINOSIDE,CLASSIFICATIONW7O;O@[SO;O@[SO;O@[SO;O@[S#S*v815CALCKCALAFFTPONKSOMB+ LES PERTES cc#+ tempratureO$|O*|%+polypneO|O|O'+diurese O|(X|O'+ gastriqueO|(p|O'+biliaireO|(p|O'+ pancreatiqueO|(p|O'+ilealeO|(p|W7+IONO URINAIRE mmol/lO)+ sodium meqO|(,|O++ potassium meqO|(,|W7+LES SOLUTES ccO-+ BIONOLYTE 5%O|(|O-+ BIONOLYTE 10%O|(|O-+ GLUCOSE 5%O|(|O-+ GLUCOSE 10%O|(|O-+SALE ISOO|(|O-+RINGER LACTATEO|(|O-+BICARBONATE ISOO|(|O-+ TRIVE 1000O|(|W7+LES SUPPLEMENTSO)+chlorure de sodium grO|O|O++chlorure de potasium grO|O|W7SSOO O OO +)BILAN HYDRO ELECTROLYTHIQUE et CALORIQUE(O+entree(O+sortie(^O+deltaO OOO2+EAU =OOF+SODIUM =OOZ+ POTASSIUM =OOn+ METABOLISME =(O2O'WB+ cc(OFO)WB+ gr(OZO+WB+ gr(OnO /WB+ kcal(O2O'WB+ cc(OFO)WB+ gr(OZO+WB+ gr(OnO /WB+ kcal(^O2O'WBO'WBM+ cc(^OFO)WBO)WBM+ gr(^OZO+WBO+WBM+ gr(^OnO /WBO /WBM+ kcalSv=. CREATAFFS%PTLTAPTCACVPOCRO@[ "Od|N "(|NO|VNO@[ "Od|N "(|NO|VN$ "Od|N &O |VN*?RS((`| &V "RWB}O@[((| &V "RWB}OO O!OO +CONSTANTES IDEALESO OOO+POIDSOO2+LORENTZOOF+CREFFOOZ+deltaOOn+IMCOxO+ = *+ kgOxO2+ = + kgOxOF+ = $+ kgOxOZ+ = * N VOd|RWB+ %OxOn+ = * "Od|V "Od|VRVWB(O+ CLEAR CREAT(^O+ = ,+ ml/mn(O2+ FREQUENCE MAX(^O2+ = (| &N(OF+CAPACITE VITALE(^OF+ = (+mlSv! AFFPO*{Gzd? RO |ROO OOO+DOBUTREX(W+ 250mg/50mlOO7+DOPAMINE(W+ 5*50mg/50mlO O OOF+dopaminergiqe <O|R+ ml/mnOOZ+betamimetique <O|R+ ml/mnOOn+alphamimetique >O|R+ ml/mnOO+ O|R+ ml/mnSv dAFFPOCREATOO OOO+ GENTALINE(W+ 40,80mgOOK+NEBCINE(W+ 25,75mg(O+ NETROMICINE(W+ 50,75,100mgO O OO + mg toutes les *?RWB+hOO-  O |VVWB+ mg toutes les 8hOOZ + mg toutes les *433333?RWB+h(OO| R+ mg toutes les *?RWB+h(O-O{  O |VVWBQ+ mg toutes les 8hSv66"CIRRHPANCRCOMATERRACLASSX%+ PATHOLOGIE ?++Cirrhose(++ Pancreatite(++Coma(++Terrain( 4W74O@[S4O@[S4O@[S S&S-v$. AFFHEX% +Classification CHILD-PUGHO"+Bilirubine mg/l+ <20 , 20-30 , >30O"+ Albumine g/l+ >35, 28-35, <28O"+TP %+ >70, 40-70, <40O"+Ascite+!absente,controlable,incontrolableO"+Encephalopathie+absente,minime,comaW7 O OHO"O""HO@[+AO"O15000O!+ Albumine g/l+>32,<32O!+Glycemie mmol/l+<10,>10O!+LDH+ <1.5*N,>1.5*NO!+ Ure mmol/l+<16,>16O!+Calcemie mmol/l+>2,<2O !+ PaO2 mmHg+>60,<60W7 O7|:[O!O O!O OO!O OHO!O!!H!OO @[O!O!OL+RANSON biliaire admissionO!+GB + <18000,>18000O!+Glycemie mmol/l+<12,>12O!+LDH+ <1.7*N,>1.7*NO!+ASAT+ <9*N,>9*NW7+RANSON biliaire 48hO!+ Chute Hte+<10,>10O!+Monte ure mmol/l+ <0.7,>0.7O !+Chute bica meq/l+<5,>5O !+sequestration l+<4,>4O !+Calcemie mmol/l+>2,<2O !+ PaO2 mmHg+>60,<60W7 OF|:[O!OO!O@[ O OHO!O!!H!OO @[O!O!O LOO OO2O(+GLASGOW PANCREATITE : (^O(O!+/8O2Od+RANSON PANCREATITE : (^OdO!+/11SSv!' AFFHEX%+COMA Echelle de GLASGOWO+Reponse occulaire+'aucune, la douleur, l'appel,spontaneO+Rponse verbale+'aucune,sons,mots isoles,confuse,normaleO+Rponse motrice+Waucune,en extension stereo,en flexion stereo,en flexion simple,ebauche dirige,correcteW7 O OHOOHO@[OO OO2O(+COMA ECHELLE DE GLASGOWO2OZ+SCORE : (OZO+/15O O!O2Os+3/15 : DECEREBRE(Os+5/15 : DECORTIQUESSvv'S%MBPOTAAC%O@[?O *x@*Q#@ RJ*? RJ*gfffff@ RN?O@[6O *GzP@*+@ RJO| RJ*@ RNOO@[O O *?ROO@[O O *433333?ROO@[O O *?ROO@[O O O|Rv+"n POX%SONKMBT O|B[O(,|OO|B[ OOO| OHOOJO@[OO(|VO|ROO(|VO|ROO(|V(|RO O(|VO|RO O(|VO|ROO(|V(|ROO(|V(|ROO(|V(|RO O(|VO |RO O(|VO|RO O(|V*433333?ROO(|VO|ROOO O|OOOJO JO JO JOJOOOJO JO JO OOJOJOJOJOO(|VO<|RO|VOO(|V(|RO|VOO(|V(|RO|VOO(|VOd|RO|VOO(|VORO|VOO(|VOd|RO |VOO(|VO2|RO |VOO(|VO|RO |VOO(|VO|RO |VOO(|VORO |VOO(,| O%|NRJ( |J OOO|OO| OHOOJOOJO@[ OOO| OHOOJO@[OO|v&FCRCREATAPOS% (| N R *Q!@RVWB}O@[ *?RWB}vHEOOW OSvINIT5HEREAF3CSTEwCHOC AMINO CLASS CIRRHg PANCR*COMA6TERRAOKCALRCALC_CREATAFF