Cardiogenic Shock: Difference between revisions

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m Text replacement - "Cardiovascular Problems Problems" to "Cardiovascular Problems"
 
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{{DX tag | Cardiovascular Problems |[[:Category: Medical Problem  | Medical Problem]] | [[:Category: Cardiogenic Shock | Cardiogenic Shock]] |YES -See [[:Category: Cardiogenic Shock | Cardiogenic Shock]] | [[10100 - Cardiogenic Shock]]  | NO | 0 | '''Critical Care and Medicine''' | Currently Collected | |}}
{{PreICD10 dx | NewDxArticle = Shock, cardiogenic}}  


== {{g| Guidelines}} ==
{{DX tag | Cardiovascular Problems |Medical Problem| Cardiogenic Shock |
:ICU: These are meant to be simple minimal criteria though it is understood that not all patients will fall nicely into all listed criteria. Remember, use your judgement.........
* 10100 - CARDIOGENIC SHOCK
*1. the patient is in shock
* 10101 - Myocardial Infarct
*2. there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult.  
* 10102 - Cardiomyopathy
*3. parameters to consider for diagnosis of cardiogenic shock:
* 10103 - Poisoning/Cytotoxic Agents
  * Definite pulmonary edema
* 10104 - Valvular Disease
* CI < 2.2
* 10105 - Post OP
  * PWP > 20
* 10106 - Etiology NYD
* Requiring inotropic support
* 10108 - Iatrogenic- Drug Induced
  * Ejection fraction <35%
* 10190 - Other
  * Current diagnosis of ACS or cardiomyopathy or severe cardiac valve disease.
* 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:
===Medicine ward===
* 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)
* 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 ==
== Legacy ==
* SubDX 7-Never used.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:32, 2012 June 20 (CDT)
* SubDX 7-Never used.[[User:TOstryzniuk|Trish Ostryzniuk]] 17:32, 2012 June 20 (CDT)
[[Category: Cardiogenic Shock]]
[[Category: Diagnosis Coding]]
[[Category: Questions_Diagnosis]]

Latest revision as of 08:43, 24 January 2019


Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Shock, cardiogenic

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System: 		Category: Cardiovascular Problems (old)

Type:

Category:Medical Problem (old)

Main Diagnosis: Cardiogenic Shock
Sub Diagnosis:
  • 10100 - CARDIOGENIC SHOCK
  • 10101 - Myocardial Infarct
  • 10102 - Cardiomyopathy
  • 10103 - Poisoning/Cytotoxic Agents
  • 10104 - Valvular Disease
  • 10105 - Post OP
  • 10106 - Etiology NYD
  • 10108 - Iatrogenic- Drug Induced
  • 10190 - Other
  • 10197 - this hosp adm but prior to ward adm
Diagnosis Code: 10100 - Cardiogenic Shock
Comorbid Diagnosis: NO
Charlson Comorbid coding (pre ICD10): 0
Program: Critical Care and Medicine
Status: 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.........
  1. the patient is in shock
  2. there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult.
  3. 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. TOstryzniuk 18:50, 1 June 2009 (CDT)

Legacy

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