Temperature: Difference between revisions
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== 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 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. | |||
{{APACHE physiological variable | {{APACHE physiological variable | ||
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|AP phys absMin=1 | |AP phys absMin=1 | ||
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Revision as of 23:58, 2017 January 7
| 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 |
The patient's worst temperature in the first 24 hours after admission.
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.
| 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.