Septic Shock: Difference between revisions
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See [[QA Septic Shock]] audit started September 2009. | See [[QA Septic Shock]] audit started September 2009. | ||
DEFINITION | DEFINITION (Blood pressure(BP) criteria): | ||
1. At least '''one''' of | 1. At least '''one''' of | ||
* '''systolic BP''' < 90 mmHg for | * '''systolic BP''' < 90 mmHg for > 30 minutes '''and not responding to fluid resusitation''' | ||
'''or''' | '''or''' | ||
* | * mean (m)BP < 65 mmHg | ||
* BP '''drop''' of > 30 mmHg '''from baseline''' for | * BP '''drop''' of > 30 mmHg '''from baseline''' for > 30 min | ||
'''or''' | '''or''' | ||
* use of '''vasopressor''' to maintain systolic BP >= 90 mmHg in the '''absence of other causes''' of shock such as hypovolemia, MI or pulmonary embolus | * use of '''vasopressor''' to maintain systolic BP >= 90 mmHg in the '''absence of other causes''' of shock such as hypovolemia, MI or pulmonary embolus | ||
Revision as of 11:42, 2009 October 15
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, septicClick Expand to show legacy content.
| edit dx infobox | |
| Category/Organ System: |
[[:Category: Cardiovascular (old)]] |
|
Type: |
[[:Category: Medical Problem (old)]][[Category: Medical Problem (old)]] |
| Main Diagnosis: | Septic Shock |
| Sub Diagnosis: | SEPTIC SHOCK |
| Diagnosis Code: | 44-00 |
| Comorbid Diagnosis: | No |
| Charlson Comorbid coding (pre ICD10): | 0 |
| Program: | Critical Care and Medicine |
| Status: | Currently Collected
|
[[Category: Cardiovascular (old)]] Mutually exclusive with Severe Sepsis
Also see Septicemia definition.
See QA Septic Shock audit started September 2009.
DEFINITION (Blood pressure(BP) criteria):
1. At least one of
- systolic BP < 90 mmHg for > 30 minutes and not responding to fluid resusitation
or
- mean (m)BP < 65 mmHg
- BP drop of > 30 mmHg from baseline for > 30 min
or
- use of vasopressor to maintain systolic BP >= 90 mmHg in the absence of other causes of shock such as hypovolemia, MI or pulmonary embolus
2. Plus at least two of:
- temperature > 38.5 C
- HR > 90
- RR > 20
3. Plus at least one of (organ failure):
- Neuro changes: GCS < 14
- Lactic Acidosis: at least one of
- LA > 2.0 or
- PH < 7.30 or
- BE < 10
- Oliguria: at least one of
- urine < 0.5 cc/kg/hr or
- urine output < 30 ml / hr or
- serum creatinine increase > 40 uM from baseline
- Hypoxia: at least one of
- Coagulopathy: drop in platelets > 25% from baseline plus at least one of
- > 25% PT or
- > 25% PTT or
- NR >1.5
Data Integrity Rules
Septic shock (44-00) is mutually exclusive with 45-00 Severe Sepsis.