Cardiogenic Shock: Difference between revisions

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{{~~DX tag~~ | ~~Cardiovascualar | Medical Problem | Cardiogenic~~ Shock |

~~Cardiogenic Shock secondary to:~~

* 1 - MYOCARDIAL INFARCTION

*2 - Cardiomyopathy

*3 - POISONING / CYTOTOXIC AGENTS

*4 - VALVULAR DISEASE

*5 - POST OPERATIVE

*6 - ETIOLOGY UNKNOWN

*8 - IATROGENIC DRUG INDUCED

*90 - OTHER

~~| 101-** | '''Critical Care and Medicine''' | Currently Collected | |~~}}

~~== [[General Diagnosis Coding Guidelines~~ | ~~Guidelines]] ==~~

{{DX tag | Cardiovascular Problems |Medical Problem| Cardiogenic Shock |

* ~~Definite pulmonary edema~~

* 10100 - CARDIOGENIC SHOCK

* ~~CI < 2.2~~

* 10101 - Myocardial Infarct

* ~~PWP > 20~~

* 10102 - Cardiomyopathy

* ~~Requiring inotropic support~~

* 10103 - Poisoning/Cytotoxic Agents

* ~~should not {{normally}} be managed on a medicine~~ ward~~, {{usually~~}} ~~only preliminary to admission to ICU or if patient is palliative or dies before the condition is addressed~~

* 10104 - Valvular Disease

* 10105 - Post OP

* 10106 - Etiology NYD

* 10108 - Iatrogenic- Drug Induced

* 10190 - Other

* 10197 - this hosp adm but prior to ward adm

| 10100 - Cardiogenic Shock | NO | 0 | '''Critical Care and Medicine''' | Currently Collected | |}}

==~~= Discussion =~~==

== Guidelines ==

~~{{discussion}}~~

:ICU: These are meant to be criteria to consider in cardiogenic shock. It is understood that not all patients will fall nicely into all listed criteria. Remember, use your judgement.........

* Medicine shouldn't have the diagnosis of cardiogenic shock ~~since~~ we ~~don't have the SG cath and we don't run inotropes. I guess~~ it ~~could be~~ an ~~acquired~~ diagnosis ~~if you had an ion gap measured and they started inotropes~~ on the ~~ward~~ before ~~admission~~ to ICU~~?[[User:GHall|GHall]] 17:15, 25 June 2008 (CDT)~~

# the patient is in shock

** please see above. Gail, if this addresses your concern, please delete the discussion section. [[User:~~Ttenbergen~~|~~Ttenbergen~~]] 13:24, 1 June 2009 (CDT)

# there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult.

# parameters to consider for diagnosis of cardiogenic shock:

#*Definite pulmonary edema

#*May require ventilation for pulmonary edema.

#*May require IABP

#*CI < 2.2

#*PWP > 20

#*Requiring inotropic support

#*Ejection fraction <35%

#*Current diagnosis of ACS or cardiomyopathy

#*Current diagnosis of severe cardiac valve disease.

===Medicine ward===

* Is not normally managed on a medicine ward therefore we would not see it as an admitting diagnosis. Cardiogenic shock can be a '''complication''' that occurs on a medicine ward which usually requires a transfer to the ICU unless the patient receives palliative care or dies before being sent to the ICU. [[User:TOstryzniuk|TOstryzniuk]] 18:50, 1 June 2009 (CDT)

== Legacy ==

* ~~Subdx~~ 7 ~~had nothing listed behind it so I did not include it here. Did we use to use it? if so, we should list it under a legacy section in this article~~. [[User:~~Ttenbergen~~|~~Ttenbergen~~]] 11:26, 5 June ~~2008~~ (CDT)

* SubDX 7-Never used.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:32, 2012 June 20 (CDT)

~~[[Category: Diagnosis Coding]]~~

~~[[Category: Cardiovascular Problems]]~~

~~[[Category: Questions_Diagnosis]]~~

@@ Line 1: / Line 1: @@
-{{DX tag | Cardiovascualar | Medical Problem | Cardiogenic Shock |
+{{PreICD10 dx | NewDxArticle = Shock, cardiogenic}}
-Cardiogenic Shock secondary to:
-* 1 - MYOCARDIAL INFARCTION
-*2 -  Cardiomyopathy
-*3 -  POISONING / CYTOTOXIC AGENTS
-*4 -  VALVULAR DISEASE
-*5 -  POST OPERATIVE
-*6 -  ETIOLOGY UNKNOWN
-*8 -  IATROGENIC DRUG INDUCED
-*90 - OTHER
-| 101-** | '''Critical Care and Medicine''' | Currently Collected | |}}
-== [[General Diagnosis Coding Guidelines | Guidelines]] ==
+{{DX tag | Cardiovascular Problems |Medical Problem| Cardiogenic Shock |
-* Definite pulmonary edema
+* 10100 - CARDIOGENIC SHOCK
-* CI < 2.2
+* 10101 -  Myocardial Infarct
-* PWP > 20
+* 10102 -  Cardiomyopathy
-* Requiring inotropic support
+* 10103 -  Poisoning/Cytotoxic Agents
-* should not {{normally}} be managed on a medicine ward, {{usually}} only preliminary to admission to ICU or if patient is palliative or dies before the condition is addressed
+* 10104 -  Valvular Disease
+* 10105 -  Post OP
+* 10106 -  Etiology NYD
+* 10108 -  Iatrogenic- Drug Induced
+* 10190 -  Other
+* 10197 -  this hosp adm but prior to ward adm
+| 10100 - Cardiogenic Shock  | NO | 0 | '''Critical Care and Medicine''' | Currently Collected | |}}
-=== Discussion ===
+== Guidelines ==
-{{discussion}}
+:ICU:  These are meant to be criteria to consider in cardiogenic shock.  It is understood that not all patients will fall nicely into all listed criteria.  Remember, use your judgement.........
-* Medicine shouldn't have the diagnosis of cardiogenic shock since we don't have the SG cath and we don't run inotropes. I guess it could be an acquired diagnosis if you had an ion gap measured and they started inotropes on the ward before admission to ICU?[[User:GHall|GHall]] 17:15, 25 June 2008 (CDT)
+#  the patient is in shock
-** please see above. Gail, if this addresses your concern, please delete the discussion section. [[User:Ttenbergen|Ttenbergen]] 13:24, 1 June 2009 (CDT)
+#  there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult.
+#  parameters to consider for diagnosis of cardiogenic shock:
+#*Definite pulmonary edema
+#*May require ventilation for pulmonary edema.
+#*May require IABP
+#*CI < 2.2
+#*PWP > 20
+#*Requiring inotropic support
+#*Ejection fraction <35%
+#*Current diagnosis of ACS or cardiomyopathy
+#*Current diagnosis of severe cardiac valve disease.
+===Medicine ward===
+* Is not normally managed on a medicine ward therefore we would not see it as an admitting diagnosis.  Cardiogenic shock can be a '''complication''' that occurs on a medicine ward which usually requires a transfer to the ICU unless the patient receives palliative care or dies before being sent to the ICU. [[User:TOstryzniuk|TOstryzniuk]] 18:50, 1 June 2009 (CDT)
 == Legacy ==
-* Subdx 7 had nothing listed behind it so I did not include it here. Did we use to use it? if so, we should list it under a legacy section in this article. [[User:Ttenbergen|Ttenbergen]] 11:26, 5 June 2008 (CDT)
+* SubDX 7-Never used.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:32, 2012 June 20 (CDT)
-[[Category: Diagnosis Coding]]
-[[Category: Cardiovascular Problems]]
-[[Category: Questions_Diagnosis]]