Temperature: Difference between revisions
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== | {{APACHE physiological variable | ||
Discussed in Nov 21.08_ ICU team meeting | |AP phys name=Temperature | ||
|AP phys unit=°C | |||
|AP phys absMax=42.7 | |||
|AP phys warnMax=42.7 | |||
|AP H4= >=41 | |||
|AP H3= >=39 and <41 | |||
|AP H1= >=38.5 and <39 | |||
|AP 0= >=36 and <38.5 | |||
|AP L1= >=34 and <36 | |||
|AP L2= >=32 and <34 | |||
|AP L3= >=30 and <32 | |||
|AP L4= <30 | |||
|AP phys warnMin=1 | |||
|AP phys absMin=1 | |||
}} | |||
== Therapeutic Cooling== | |||
<!-- Discussed in Nov 21.08_ ICU team meeting --> | |||
If a patient is '''actively cooled for therapeutic reasons''', use the most recent temp just '''prior to''' start of cooling. | If a patient is '''actively cooled for therapeutic reasons''', use the most recent temp just '''prior to''' start of cooling. | ||
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**cardiac arrests may having the cooling protocol applied. See [[BRR]] for more information about special tagging of these patients. | **cardiac arrests may having the cooling protocol applied. See [[BRR]] for more information about special tagging of these patients. | ||
If a patient is arriving from the OR cold, use the actual worst temperature since this low temp could also be a negative result of "having been open" for a long time. | === from OR === | ||
If a patient is arriving from the OR cold, use the actual worst temperature since this low temp could also be a negative result of "having been open" for a long time. | |||
Revision as of 23:57, 7 January 2017
| Data Element (edit) | |
| Field Name: | Ap_Temp |
| CCMDB Label: | Temperature |
| CCMDB tab: | not stated |
| Table: | L_Log |
| Data type: | number |
| Length: | single |
| Program: | CC |
| Created/Raw: | Raw |
| Start Date: | 1988-07-11 |
| End Date: | 2300-01-01 |
| Sort Index: | 57 |
| Data Dependencies(Reports/Indicators/Data Elements): | |
The patient's worst temperature in the first 24 hours after admission.
| Apache Physiological Variable | |
| variable name | Temperature |
| unit | °C |
| absolute max allowed | 42.7 |
| warning max | 42.7 |
| high score 4 | >=41 |
| high score 3 | >=39 and <41 |
| high score 2 | |
| high score 1 | >=38.5 and <39 |
| score 0 | >=36 and <38.5 |
| low score 1 | >=34 and <36 |
| low score 2 | >=32 and <34 |
| low score 3 | >=30 and <32 |
| low score 4 | <30 |
| AP phys warnMin | 1 |
| AP phys absMin | 1 |
APACHE Score
This value is used to generate the APACHE Score.
Collecting Apache physiological variables
There are some specific rules to follow in choosing which one of several lab results to collect.
See APACHE physiological variable collection for details.
Cross Chcks
Rules described in APACHE_physiological_variable_collection#Exceptionally_high_or_low_values are implemented by Check APACHE physiological variable high low.
Therapeutic Cooling
If a patient is actively cooled for therapeutic reasons, use the most recent temp just prior to start of cooling.
- If no temp is available before cooling initiated, then use a temp at 4 hours after cooling stopped.
- cardiac arrests may having the cooling protocol applied. See BRR for more information about special tagging of these patients.
from OR
If a patient is arriving from the OR cold, use the actual worst temperature since this low temp could also be a negative result of "having been open" for a long time.