Temperature: Difference between revisions

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*A physiological element collected for APACHE II
See also [[Targeted Temperature Management (TTM)]], [[Hypothermia, due to exposure/low environmental temperature]] or [[Hypothermia, not due to low environmental temperature/exposure]]
Select the '''worst''' value in the first 24 hours in ICU., i.e. the value that would generate the highest score from the [[APACHE Scoring table]].


{{Data_element
| field_name = Ap_Temp
| CCMDB_label = Temperature
| CCMDB_tab = Apache
| element_description = The patient's {{#show: Temperature | ?AP phys name}} level in {{#show: Temperature | ?AP phys unit}}.
| in_table = L_Log table
| data_type = number
| datafield_length = single
| program_collecting = CC
| created_raw = Raw
| data_element_sort_index = 57
}}


====Discussion ====
== Therapeutic Cooling ==
*If the temperature is artificially cooled, should we use these low temperatures?  Example when on a cooling blanket or hypothermic from cooling in the OR?--[[User:LKolesar|LKolesar]] 11:58, 19 November 2008 (CST)
<!-- Discussed in Nov 21.08_ ICU team meeting -->
 
Cardiac arrests may having the cooling protocol applied. See [[Cardiac Arrest Cooling Protocol]] for more information. If a patient is '''actively cooled for therapeutic reasons''', use the most recent temp just '''prior to''' start of cooling.
==Artificial Cooling==
Discussed in Nov 21.08_ ICU team meeting:
 
If a patient is '''actively cooled for therapeutic reasons''', use the most recent temp just '''prior to'''start of cooling.
* If no temp is available before cooling initiated, then use a temp at '''4 hours after''' cooling stopped.
* If no temp is available before cooling initiated, then use a temp at '''4 hours after''' cooling stopped.


*cardiac arrests may having the cooling protocol applied. See [[BRR]] for more information.
=== Arrived from OR cold ===
 
If a patient is arriving from the OR cold, use the actual worst temperature since this low temp could also be a negative result of "having been open" for a long time.
If a patient is arriving from the OR cold, use the actual worst temperature since this low temp could also be a negative result of "having been open" for a long time.  
 
**the key to APACHE is not to record iatrogenically induce problem.
*[[User:TOstryzniuk|TOstryzniuk]] 23:26, 4 December 2008 (CST)
 
*See [[General Collection Guidelines for Apache II]].
 
 
 
== Data Integrity Rules ==
* (>=20 And <=43.5)
 
 


{{APACHE physiological variable
|AP phys name=Temperature
|AP phys unit=°C
|AP phys absMax=42.7
|AP phys warnMax=42.7
|AP H4= >=41
|AP H3= >=39 and <41
|AP H1= >=38.5 and <39
|AP 0= >=36 and <38.5
|AP L1= >=34 and <36
|AP L2= >=32 and <34
|AP L3= >=30 and <32
|AP L4= <30
|AP phys warnMin=1
|AP phys absMin=1
}}


== Data Integrity Checks ==
{{Data Integrity Check List}}


[[Category: APACHE II]]
== Related articles ==
[[Category: Data Integrity Rules]]
{{Related Articles}}