Hahn reported a checklist for monitoring a patient with the Transurethral Resection Syndrome (TURS). This can help to identify a patient who may require more aggressive management. The author is from the Karolinska Institute in Stockholm.
Parameters:
(1) chest pain
(2) bradycardia
(3) hypertension
(4) hypotension
(5) poor urine output
(6) blurred vision
(7) nausea
(8) vomiting
(9) uneasiness
(10) confusion
(11) tiredness
(12) change of consciousness
(13) headache
Items 1 to 5 are circulatory findings.
Items 6 to 13 are neurololgical findings.
|
Parameter |
Finding |
Points |
|
chest pain |
none |
0 |
|
|
one episode, lasts < 5 minutes |
1 |
|
|
one episode, lasts >= 5 minutes |
2 |
|
|
multiple episodes |
3 |
|
bradycardia |
none or decrease < 10 bpm |
0 |
|
|
decrease 10-20 beats per minute |
1 |
|
|
decrease > 20 beats per minute |
2 |
|
|
repeated decreases |
3 |
|
hypertension |
none, or increase < 10 mm Hg |
0 |
|
|
SAP up 10 to 30 mm Hg |
1 |
|
|
SAP > 30 mm Hg, < 15 minutes |
2 |
|
|
SAP > 30 mm Hg, >= 15 minutes |
3 |
|
hypotension |
none, or decrease < 30 mm Hg |
0 |
|
|
SAP down 30-50 mm Hg |
1 |
|
|
SAP down > 50 Hg, once |
2 |
|
|
SAP down > 50 mm Hg, repeated |
3 |
|
poor urine output |
none |
0 |
|
|
diuretics needed |
1 |
|
|
repeated use of diuretics |
2 |
|
|
diuretics ineffective |
3 |
|
blurred vision |
none |
0 |
|
|
lasts < 10 minutes |
1 |
|
|
lasts >= 10 minutes |
2 |
|
|
transient blindness |
3 |
|
nausea |
none |
0 |
|
|
lasts < 5 minutes |
1 |
|
|
last 5 to 120 minutes |
2 |
|
|
lasts > 120 minutes OR intense |
3 |
|
vomiting |
none |
0 |
|
|
once |
1 |
|
|
repeatedly, < 60 minutes |
2 |
|
|
repeatedly, >= 60 minutes |
3 |
|
uneasiness |
none |
0 |
|
|
slight |
1 |
|
|
moderate |
2 |
|
|
severe, intense |
3 |
|
confusion |
none |
0 |
|
|
lasts < 5 minutes |
1 |
|
|
lasts 5 to 60 minutes |
2 |
|
|
lasts > 60 minutes |
3 |
|
tiredness |
none |
0 |
|
|
patient statement |
1 |
|
|
objectively exhausted, <= 120 minutes |
2 |
|
|
objectively exhausted, > 120 minutes |
3 |
|
level of consciousness |
normal |
0 |
SpecialtyICD-10InfoSpecialty: Endocrinology, Clinical Laboratory ICD-10: , |
