Cardiogenic Shock: Difference between revisions

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-{{DX tag | Cardiogenic Shock | multiple | 101-** | '''Critical Care and Medicine''' | Currently Collected }}
+{{PreICD10 dx | NewDxArticle = Shock, cardiogenic}}
-== Definition ==
+{{DX tag | Cardiovascular Problems |Medical Problem| Cardiogenic Shock |
-* Definite pulmonary edema
+* 10100 - CARDIOGENIC SHOCK
-* CI < 2.2
+* 10101 -  Myocardial Infarct
-* PWP > 20
+* 10102 -  Cardiomyopathy
-* Anion gap metabolic acidosis would qualify even if CI is not available. (NA – CL + SERUM CO2 OR HCO3)  (ABNORMAL IF > 12 + PH < 7.23)
+* 10103 -  Poisoning/Cytotoxic Agents
-* Requiring inotropic support
+* 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 | |}}
+== 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.
-== Possible Subcodes ==
+===Medicine ward===
-.  MYOCARDIAL INFARCTION
+* 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)
-.  CARDIOMYOPATHY
+== Legacy ==
+* SubDX 7-Never used.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:32, 2012 June 20 (CDT)
-.  POISONING / CYTOTOXIC AGENTS
-.  VALVULAR DISEASE
-.  POST OPERATIVE
-.  ETIOLOGY UNKNOWN
-.  IATROGENIC DRUG INDUCED
-. OTHER
-=== Discussion ===
-* 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)
-[[Category:Diagnosis Coding]]