Cardiogenic Shock: Difference between revisions

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{{~~DX tag~~ | ~~[[:Category: Cardiovascular Problems | Cardiovascular Problems ]] |[[:Category: Medical Problem | Medical Problem]] | [[:Category: Cardiogenic Shock | Cardiogenic~~ Shock~~]] | [[10100 - Cardiogenic Shock]] | |~~

~~Secondary to:~~

* 1 - [[Cardiogenic Shock 2nd to Myocardial Infarction]]

*2 - [[Cardiogenic Shock 2nd to Cardiomyopathy]]

*3 - [[Cardiogenic Shock-2nd to Poisoning/Cytotoxic Agent]]

*4 - [[Cardiogenic Shock 2nd to Valvular Disease]]

*5 - POST OPERATIVE

*6 - ETIOLOGY UNKNOWN

*8 - IATROGENIC DRUG INDUCED

*90 - OTHER

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

== {{g| ~~Guidelines~~}} ==

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

:ICU:

* 10100 - CARDIOGENIC SHOCK

* Definite pulmonary edema

* 10101 - Myocardial Infarct

* CI < 2.2

* 10102 - Cardiomyopathy

* PWP > 20

* 10103 - Poisoning/Cytotoxic Agents

* Requiring inotropic support

* 10104 - Valvular Disease

:Medicine ward:

* 10105 - Post OP

* Is not~~{{g |~~ 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 ~~{{g |~~ usually}} requires a transfer to the ICU unless the patient ~~is [[Palliative Care]]~~ or dies before being sent to the ICU. [[User:TOstryzniuk|TOstryzniuk]] 18:50, 1 June 2009 (CDT)

* 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 | |}}

== Guidelines ==

: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.........

# the patient is in shock

# 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: Cardiogenic Shock]]~~

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

~~[[Category: Questions_Diagnosis]]~~

@@ Line 1: / Line 1: @@
-{{DX tag | [[:Category: Cardiovascular Problems | Cardiovascular Problems ]] |[[:Category: Medical Problem  | Medical Problem]] | [[:Category: Cardiogenic Shock | Cardiogenic Shock]] | [[10100 - Cardiogenic Shock]] | |
+{{PreICD10 dx | NewDxArticle = Shock, cardiogenic}}
-Secondary to:
-* 1 - [[Cardiogenic Shock 2nd to Myocardial Infarction]]
-*2 -  [[Cardiogenic Shock 2nd to Cardiomyopathy]]
-*3 -  [[Cardiogenic Shock-2nd to Poisoning/Cytotoxic Agent]]
-*4 -  [[Cardiogenic Shock 2nd to Valvular Disease]]
-*5 -  POST OPERATIVE
-*6 -  ETIOLOGY UNKNOWN
-*8 -  IATROGENIC DRUG INDUCED
-*90 - OTHER
-| 101-** | '''Critical Care and Medicine''' | Currently Collected | |}}
-== {{g| Guidelines}} ==
+{{DX tag | Cardiovascular Problems |Medical Problem| Cardiogenic Shock |
-:ICU:
+* 10100 - CARDIOGENIC SHOCK
-* Definite pulmonary edema
+* 10101 -  Myocardial Infarct
-* CI < 2.2
+* 10102 -  Cardiomyopathy
-* PWP > 20
+* 10103 -  Poisoning/Cytotoxic Agents
-* Requiring inotropic support
+* 10104 -  Valvular Disease
-:Medicine ward:
+* 10105 -  Post OP
-* Is not{{g | 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 {{g | usually}} requires a transfer to the ICU unless the patient is [[Palliative Care]] or dies before being sent to the ICU. [[User:TOstryzniuk|TOstryzniuk]] 18:50, 1 June 2009 (CDT)
+* 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 | |}}
+== Guidelines ==
+: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.........
+#  the patient is in shock
+#  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: Cardiogenic Shock]]
-[[Category: Diagnosis Coding]]
-[[Category: Questions_Diagnosis]]