Template:ICD10 Guideline overdose: Difference between revisions

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[[Category:ICD10 wiki infrastructure]]

[[Category:ICD10 wiki infrastructure]][[Category:Drug and substance template]]

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</noinclude>=== Overdose/toxicity codes ===

<includeonly>{{ICD10 category|Overdose}}</includeonly>

*'''This category is in relation to pharmaceuticals and other biological substances''' (as opposed to [[:Category:Poisoning by non-pharmaceuticals]])

*To qualify for these codes, there must be a threat to life, or limb, or to functioning for one or more organs AND there was an INAPPROPRIATE dosing regimen -- thus the threat was a consequence of an overdose

**e.g. opioid overdose can cause respiratory arrest or shock, both of which can be life threats

**e.g. acetominophen overdose puts the liver at risk of failing

*There is no assumption here about whether the overdose was accidental or not -- if it was a suicide attempt, then you should link the overdose code with [[Suicide attempt (intentional self-harm)]]

*In addition to a number of codes for specific agents (e.g. insulin), or classes of agents (e.g. beta-blockers) there are several levels of “wastebasket” codes -- the final, all-encompassing wastebasket here is [[Drug or biological substance/agent NOS, overdose/toxicity]]

Overdose/toxicity codes are to be used for drugs that have been used at an inappropriate dose or frequency, or in a recreational /non-prescription use setting.

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~~{{DA~~ | ~~please fix up as part~~ of the ~~substance dx review~~ }}

==== how to use ====

*People are admitted for an overdose for either of 2 possible scenarios:

**(1) Nothing bad has happened to them yet, but it may and so they're admitted for observation. In this case, the [[Primary Admit Diagnosis]] would be [[Observation for SUSPECTED overdose]], and this should be combined with the specific drug(s) in the overdose -- and IF it was a suicide attempt than also combine with [[Suicide attempt (intentional self-harm)|Suicide attempt]]

**(2) They HAVE dangerous physiologic manifestations already (e.g. resp failure, shock) and the admission is for that/those manifestations. In this case you should combine all the manifestations present + the overdose(s) and if relevant also [[Suicide attempt (intentional self-harm)]]. And in this case, the [[Primary Admit Diagnosis]] is the ONE of the physiologic manifestations which is most responsible for the admission (i.e. "worst"; just like we do when people present with infection and multiple organ failures, we choose the worst manifestation as primary).

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-[[Category:ICD10 wiki infrastructure]]
+[[Category:ICD10 wiki infrastructure]][[Category:Drug and substance template]]
 ----
 </noinclude>=== Overdose/toxicity codes ===
-{{ICD10 category|Overdose}}
+<includeonly>{{ICD10 category|Overdose}}</includeonly>
+*'''This category is in relation to pharmaceuticals and other biological substances''' (as opposed to [[:Category:Poisoning by non-pharmaceuticals]])
+*To qualify for these codes, there must be a threat to life, or limb, or to functioning for one or more organs AND there was an INAPPROPRIATE dosing regimen -- thus the threat was a consequence of an overdose
+**e.g. opioid overdose can cause respiratory arrest or shock, both of which can be life threats
+**e.g. acetominophen overdose puts the liver at risk of failing
+*There is no assumption here about whether the overdose was accidental or not -- if it was a suicide attempt, then you should link the overdose code with [[Suicide attempt (intentional self-harm)]]
+*In addition to a number of codes for specific agents (e.g. insulin), or classes of agents (e.g. beta-blockers) there are several levels of “wastebasket” codes -- the final, all-encompassing wastebasket here is [[Drug or biological substance/agent NOS, overdose/toxicity]]
 Overdose/toxicity codes are to be used for drugs that have been used at an inappropriate dose or frequency, or in a recreational /non-prescription use setting.
 {{ListICD10Category | categoryName = Overdose}}
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 {{ListICD10Category | categoryName = Adverse effect}}
-{{DA | please fix up as part of the substance dx review }}
+==== how to use ====
+*People are admitted for an overdose for either of 2 possible scenarios:
+**(1) Nothing bad has happened to them yet, but it may and so they're admitted for observation.  In this case, the [[Primary Admit Diagnosis]] would be [[Observation for SUSPECTED overdose]], and this should be combined with the specific drug(s) in the overdose -- and IF it was a suicide attempt than also combine with [[Suicide attempt (intentional self-harm)|Suicide attempt]]
+**(2) They HAVE dangerous physiologic manifestations already (e.g. resp failure, shock) and the admission is for that/those manifestations.  In this case you should combine all the manifestations present + the overdose(s) and if relevant also [[Suicide attempt (intentional self-harm)]].  And in this case, the [[Primary Admit Diagnosis]] is the ONE of the physiologic manifestations which is most responsible for the admission (i.e. "worst"; just like we do when people present with infection and multiple organ failures, we choose the worst manifestation as primary).
+{{ICD10 Guideline drugs and substances}}