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All arterial blood gas (ABG) results ([[FIO2]], [[PO2]], [[CO2]], & '''PH''') should be obtained from the '''same''' specimen.   Use the PH value from the worst ABG result you have selected for a patient during their first 24 hours in ICU.
#Independent of the ABG selected, choose the '''worst''' pH from any of the blood gases.
#I see I have two different guides here. The above and also another from previous guide which collectors are following. 
*Sending out a survey & will post clarification. [[User:TOstryzniuk|TOstryzniuk]] 16:00, 12 February 2009 (CST)


*See [[APACHE Scoring table]]


*though there are different collection practices used when selecting the PH value, the original APACHE II user manual (version 1.0) is as above.  
{| class="wikitable" border=1 <hiddentext> set to 0 for no borders</hiddentext>
|-
| width="103" height="14" valign="bottom" | APACHE II - PH value
|style="font-weight:bold;color:#0000FF" width="95" align="center" valign="bottom" | A
|style="font-weight:bold;color:#0000FF" width="76" align="center" valign="bottom" | B


[[Image:Updated3.gif]]
|-
|style="color:#0000FF" height="67"  | Instruction followed?
| align="center" valign="bottom" | Use the PH from the worst ABG result you have selected for that patient?
|  valign="bottom" | Use the worst PH independant of the ABG you select?


|-
| height="14"  valign="bottom" | Jackie
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | &nbsp;
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | √


|-
| height="14"  valign="bottom" | Norine M
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | √
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | &nbsp;


|-  valign="bottom"
| height="14" | Marylou
|style="font-size:11pt;font-weight:bold" | &nbsp;
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | √


|-  valign="bottom"
| height="14" | Lois
|style="font-size:11pt;font-weight:bold" | &nbsp;
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | √


[[Category: ABG]]
|-  valign="bottom"
| height="14" | Joyce
|style="font-size:11pt;font-weight:bold" | &nbsp;
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | √
 
|-  valign="bottom"
| height="14" | Betty
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | √
|style="font-size:11pt;font-weight:bold" | &nbsp;
 
|-  valign="bottom"
| height="14" | Jan K
|style="font-size:11pt;font-weight:bold" | &nbsp;
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | √
 
|-  valign="bottom"
| height="14" | Kym
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | √
|style="font-size:11pt;font-weight:bold" | &nbsp;
 
|-
| height="14"  valign="bottom" | Laura
|style="font-size:11pt;font-weight:bold" align="center" valign="bottom" | √
|style="font-size:11pt;font-weight:bold"  valign="bottom" | &nbsp;
 
|}
 
 
[[User:TOstryzniuk|TOstryzniuk]] 18:19, 12 February 2009 (CST)
 
{{Discussion}}
*'''Guideline discrepancy APACHE PH''':[[User:TOstryzniuk|TOstryzniuk]] 16:00, 12 February 2009 (CST)
*When selecting a PH for your APACHE score do you:
*a. use the PH from the worst BLOOD GAS result you had selected for that patient
*-or-
*b. do select the worst PH which is independent of the ABG you used?[[User:TOstryzniuk|TOstryzniuk]] 16:01, 12 February 2009 (CST)
 
'''*NORINE-VIC'''
*I use the worst pH of the same ABG, I do not extract another pH from another gas as that would be stacking the deck wouldn’t it? Basically I choose the gas that would score the highest for the apache as a lower/higher pH can sometimes count more than a lower p02. Feb 12.09
'''Jackie Winestock_VIC'''
*Anyway, I look at the worst ph independant of the blood gas that I use. Jackie. Feb 12.09
 
 
 
Refer to [[General Collection Guidelines for Apache II#When to collect, which value to use]] for how and when to collect this.
 
 
{{stub}}
 
 
[[Category: APACHE II]]

Revision as of 13:35, 2009 April 27

  1. Independent of the ABG selected, choose the worst pH from any of the blood gases.
  2. I see I have two different guides here. The above and also another from previous guide which collectors are following.
  • Sending out a survey & will post clarification. TOstryzniuk 16:00, 12 February 2009 (CST)


APACHE II - PH value A B
Instruction followed? Use the PH from the worst ABG result you have selected for that patient? Use the worst PH independant of the ABG you select?
Jackie   √
Norine M √  
Marylou   √
Lois   √
Joyce   √
Betty √  
Jan K   √
Kym √  
Laura √  


TOstryzniuk 18:19, 12 February 2009 (CST)

Template:Discussion

  • Guideline discrepancy APACHE PH:TOstryzniuk 16:00, 12 February 2009 (CST)
  • When selecting a PH for your APACHE score do you:
  • a. use the PH from the worst BLOOD GAS result you had selected for that patient
  • -or-
  • b. do select the worst PH which is independent of the ABG you used?TOstryzniuk 16:01, 12 February 2009 (CST)

*NORINE-VIC

  • I use the worst pH of the same ABG, I do not extract another pH from another gas as that would be stacking the deck wouldn’t it? Basically I choose the gas that would score the highest for the apache as a lower/higher pH can sometimes count more than a lower p02. Feb 12.09

Jackie Winestock_VIC

  • Anyway, I look at the worst ph independant of the blood gas that I use. Jackie. Feb 12.09


Refer to General Collection Guidelines for Apache II#When to collect, which value to use for how and when to collect this.


Template:Stub

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