Septic Shock: Difference between revisions

Revision as of 11:16, 5 June 2008

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Shock, septic

Click Expand to show legacy content.

edit dx infobox
Category/Organ System:	Category: Septic Shock (old)
Type:	Category: SEPTIC SHOCK (old)
Main Diagnosis:	44-00
Sub Diagnosis:	Critical Care and Medicine
Diagnosis Code:	Currently Collected
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:
Status:

At least one of

or

or

use of vasopressor to maintain systolic BP > 90 mmHg in the absence of other causes of shock such as hypovolemia, MI or pulmonary embolus

Plus at least two of:

Plus at least one of:

Neuro changes: GCS < 14
Lactic Acidosis: at least one of
- LA > 2.0 or
- PH < 7.30 or
- BE < 10
Oliguria: at least one of
- urine < 0.5 cc/kg/hr or
- urine output < 30 ml / hr or
- serum creatinine increase > 40 uM from baseline
Hypoxia: at least one of
- PO2 < 75 on RA or
- PaO2 / FiO2 ratio <280 (not valid due to pneumonia)
Coagulopathy: drop in platelets > 25% from baseline plus at least one of
- > 25% PT or
- > 25% PTT or
- NR >1.5

This is mutually exclusive with 45-00 Septic Shock.

@@ Line 1: / Line 1: @@
 {{DX tag | Septic Shock | SEPTIC SHOCK | 44-00 | '''Critical Care and Medicine''' | Currently Collected }}
-At least one of
+At least '''one''' of
 * '''systolic BP''' < 90 mmHg for over 30 minutes '''and not responding to fluids'''
 '''or'''
@@ Line 8: / Line 9: @@
 * use of '''vasopressor''' to maintain systolic BP > 90 mmHg in the '''absence of other causes''' of shock such as hypovolemia, MI or pulmonary embolus
-Plus at least '''two''' of the following:
+Plus at least '''two''' of:
 * TEMP  > 38.5 C
 * HR  > 90
 * RR  > 20
-Plus at least one following:
+Plus at least '''one''' of:
 * '''Neuro changes''': GCS < 14
 * '''Lactic Acidosis''': at least one of