Cardiogenic Shock: Difference between revisions

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| 101-** | '''Critical Care and Medicine''' | Currently Collected | |}}
| 101-** | '''Critical Care and Medicine''' | Currently Collected | |}}


== Definition ==
== [[General Diagnosis Coding Guidelines | Guidelines]] ==
* Definite pulmonary edema
* Definite pulmonary edema
* CI < 2.2
* CI < 2.2
* PWP > 20
* PWP > 20
* If CI is unavailable, anion gap metabolic acidosis would qualify:
** (NA – CL + SERUM CO2 OR HCO3)  (ABNORMAL IF )
* Requiring inotropic support
* Requiring inotropic support
* should not [[General Diagnosis Coding Guidelines | normally]] be managed on a medicine ward, [[General Diagnosis Coding Guidelines | usually ]]only preliminary to admission to ICU or if patient is palliative or dies before the condition is addressed


=== Discussion ===
=== Discussion ===
{{discussion}}
{{discussion}}
* Anion gap would qualify if CI is absent... how about if CI is present?
* [[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)
* 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)
 
** please see above. Gail, if this addresses your concern, please delete the discussion section. [[User:Ttenbergen|Ttenbergen]] 13:24, 1 June 2009 (CDT)
 


== Legacy ==
== Legacy ==

Revision as of 12:24, 1 June 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:


Guidelines

  • Definite pulmonary edema
  • CI < 2.2
  • PWP > 20
  • Requiring inotropic support
  • should not normally be managed on a medicine ward, usually only preliminary to admission to ICU or if patient is palliative or dies before the condition is addressed

Discussion

Template:Discussion

  • 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)
    • please see above. Gail, if this addresses your concern, please delete the discussion section. Ttenbergen 13:24, 1 June 2009 (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)