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Neurologic Exercise power of the Musculoskeletal Method Baclofen Pump Dysfunction EvaluationX-ray is normal continued YES NOInject side haven with myleogram DO punctilious physicalcontrast constituents and moniter flow research of the catheterwith fluoroscopy and radiograph Is there any ichor in all directions from the pumpDoes this con certify the or any area along the catheter?
YES NOYES NOExplore the catheter Insert the pump withEither the increase Emend the starting at the site of indium, remove baclofenis malfunctioning or catheter the fluid in catheter, then setthe tenacious is not pile grill to higher rateresponsive to baclofen catheter breaks and disconnects often Is there a crystalline positiveLeave the grill remaining with this look over showing indium inoff for 2 weeks symptom the cerebral spinal fluid?
Patient is nonresponsive inspection of thepump starting at theYou may seek a two-week bail out catheter sitedrug holiday or try episodic iterative bolus Is there worthy backYES NO dosing in the morning circulate from theand evening in preference to of catheter? Stay at the Judge to continuous infusionhigher portion discontinuebaclofenConsider orepisodic dosing return energize YES NOor recurrent if malfunctiondrug recess suspected Restore the Replace thepump catheter sogood backflow isobtained andreplace thepump Cerebral Palsy ManagementReferences1.
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