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| #Independent of the ABG selected, choose the '''worst''' pH from any of the blood gases.
| | 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. |
| #I see I have two different guides here. The above and also another from previous guide which collectors are following.
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| *Sending out a survey & will post clarification. [[User:TOstryzniuk|TOstryzniuk]] 16:00, 12 February 2009 (CST)
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| | *See [[APACHE Scoring table]] |
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| | *though there are different collection practices used when selecting the PH value, the original APACHE II user manual (version 1.0) is as above. |
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| | width="103" height="14" valign="bottom" | APACHE II - PH value
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| |style="color:#0000FF" height="67" | Instruction followed?
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| | align="center" valign="bottom" | Use the PH from the worst ABG result you have selected for that patient?
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| | valign="bottom" | Use the worst PH independant of the ABG you select?
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| [[User:TOstryzniuk|TOstryzniuk]] 18:19, 12 February 2009 (CST) | |
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| {{Discussion}}
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| *'''Guideline discrepancy APACHE PH''':[[User:TOstryzniuk|TOstryzniuk]] 16:00, 12 February 2009 (CST)
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| *When selecting a PH for your APACHE score do you:
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| *a. use the PH from the worst BLOOD GAS result you had selected for that patient
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| *-or-
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| *b. do select the worst PH which is independent of the ABG you used?[[User:TOstryzniuk|TOstryzniuk]] 16:01, 12 February 2009 (CST)
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| '''*NORINE-VIC'''
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| *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
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| '''Jackie Winestock_VIC'''
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| *Anyway, I look at the worst ph independant of the blood gas that I use. Jackie. Feb 12.09
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| Refer to [[General Collection Guidelines for Apache II#When to collect, which value to use]] for how and when to collect this.
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| {{stub}}
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| [[Category: APACHE II]]
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