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#Independent of the ABG selected, choose the '''worst''' pH from any of the blood gases.
Choose the '''worst''' pH from any of the blood gases collected according to [[Apache II General Collection Guidelines]].
#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)
==Legacy Info ==
Until April 28 2009 there was a discrepancy how pH was documented at different hospitals.  




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| 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


|-
|style="color:#0000FF" height="67"  | Instruction followed?  
|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?
| align="center" valign="bottom" | Use the PH from the worst ABG result you have selected for that patient?
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[[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]]
[[Category: APACHE II]]

Revision as of 12:57, 2009 April 28

Choose the worst pH from any of the blood gases collected according to Apache II General Collection Guidelines.

Legacy Info

Until April 28 2009 there was a discrepancy how pH was documented at different hospitals.


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 √  
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