Cardiogenic Shock: Difference between revisions

From CCMDB Wiki
Jump to navigation Jump to search
mNo edit summary
mNo edit summary
Line 15: Line 15:
* CI < 2.2
* CI < 2.2
* PWP > 20
* PWP > 20
* Anion gap metabolic acidosis would qualify even if CI is not available. (NA – CL + SERUM CO2 OR HCO3)  (ABNORMAL IF > 12 + PH < 7.23)
* If CI is unavailable, anion gap metabolic acidosis would qualify:
** (NA – CL + SERUM CO2 OR HCO3)  (ABNORMAL IF )
* Requiring inotropic support
* Requiring inotropic support


=== Discussion ===
=== Discussion ===
{{discussion}}
{{discussion}}
*Medicine shouldn't have the diagnosis of cardiogenic shock since we don't have the SG cath and we don't run inotropes.[[User:GHall|GHall]] 16:37, 25 June 2008 (CDT)
* Anion gap would qualify if CI is absent... how about if CI is present?
**I guess it could be an acquired diagnosis if you had an ion gap measured and they started inotropes on the ward before admission to ICU?[[User:GHall|GHall]] 17:15, 25 June 2008 (CDT)
 
* [[User:Ttenbergen|Ttenbergen]] 14:06, 28 May 2009 (CDT) can I change
** (NA – CL + (SERUM CO2 OR HCO3))  (ABNORMAL IF > 12 + PH < 7.23)
* to 
** Abnormal if both
*** (NA – CL + (SERUM CO2 OR HCO3)) > 12 
*** PH < 7.23
 
* Medicine shouldn't have the diagnosis of cardiogenic shock since we don't have the SG cath and we don't run inotropes. I guess it could be an acquired diagnosis if you had an ion gap measured and they started inotropes on the ward before admission to ICU?[[User:GHall|GHall]] 17:15, 25 June 2008 (CDT)
 
 


== Legacy ==
== Legacy ==

Revision as of 13:06, 28 May 2009

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, cardiogenic

Click Expand to show legacy content.


edit dx infobox
Category/Organ
System:
Category: Cardiovascualar (old)

Type:

Category: Medical Problem (old)

Main Diagnosis: Cardiogenic Shock
Sub Diagnosis:

Cardiogenic Shock secondary to:

  • 1 - MYOCARDIAL INFARCTION
  • 2 - Cardiomyopathy
  • 3 - POISONING / CYTOTOXIC AGENTS
  • 4 - VALVULAR DISEASE
  • 5 - POST OPERATIVE
  • 6 - ETIOLOGY UNKNOWN
  • 8 - IATROGENIC DRUG INDUCED
  • 90 - OTHER
Diagnosis Code: 101-**
Comorbid Diagnosis: Critical Care and Medicine
Charlson Comorbid coding (pre ICD10): Currently Collected
Program:
Status:


Definition

  • Definite pulmonary edema
  • CI < 2.2
  • PWP > 20
  • If CI is unavailable, anion gap metabolic acidosis would qualify:
    • (NA – CL + SERUM CO2 OR HCO3) (ABNORMAL IF )
  • Requiring inotropic support

Discussion

Template:Discussion

  • Anion gap would qualify if CI is absent... how about if CI is present?
  • Ttenbergen 14:06, 28 May 2009 (CDT) can I change
    • (NA – CL + (SERUM CO2 OR HCO3)) (ABNORMAL IF > 12 + PH < 7.23)
  • to
    • Abnormal if both
      • (NA – CL + (SERUM CO2 OR HCO3)) > 12
      • PH < 7.23
  • Medicine shouldn't have the diagnosis of cardiogenic shock since we don't have the SG cath and we don't run inotropes. I guess it could be an acquired diagnosis if you had an ion gap measured and they started inotropes on the ward before admission to ICU?GHall 17:15, 25 June 2008 (CDT)


Legacy

  • Subdx 7 had nothing listed behind it so I did not include it here. Did we use to use it? if so, we should list it under a legacy section in this article. Ttenbergen 11:26, 5 June 2008 (CDT)