Serum CO2: Difference between revisions
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{{Data_element | {{Data_element | ||
| field_name = Ap_CO2 | | field_name = Ap_CO2 | ||
| element_description = The | | element_description = The patient's {{#show: Serum CO2 | ?AP phys name}} level in {{#show: Serum CO2 | ?AP phys unit}}. | ||
| in_table = L_Log | | in_table = L_Log | ||
| data_type = number | | data_type = number | ||
| Line 10: | Line 10: | ||
}} | }} | ||
*an [[:Category:ABG | ABG]] result is '''preferred''', but if no ABG available during the first 24 hours in ICU then select the worst '''[[serum CO2]]'''. (NOTE: for APACHE II scoring: the serum CO2 replaces PH and assumes normal oxygenation).''' Do not use venous gases.''' | *an [[:Category:ABG | ABG]] result is '''preferred''', but if no ABG available during the first 24 hours in ICU then select the worst '''[[serum CO2]]'''. (NOTE: for APACHE II scoring: the serum CO2 replaces PH and assumes normal oxygenation).''' Do not use venous gases.''' | ||
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*NOTE: '''Serum CO2''' is really a measure of '''serum HCO3-''', also '''called bicarbonate'''. The procedure used to measure HCO3- in the laboratory first converts it to CO2. In the body, 95% of the CO2 is present as HCO3-, so most of what is measured in the laboratory represents HCO3-.[[User:TOstryzniuk|TOstryzniuk]] 15:42, 25 May 2009 (CDT) | *NOTE: '''Serum CO2''' is really a measure of '''serum HCO3-''', also '''called bicarbonate'''. The procedure used to measure HCO3- in the laboratory first converts it to CO2. In the body, 95% of the CO2 is present as HCO3-, so most of what is measured in the laboratory represents HCO3-.[[User:TOstryzniuk|TOstryzniuk]] 15:42, 25 May 2009 (CDT) | ||
{{APACHE physiological variable | |||
|AP phys name=Serum CO2 | |||
|AP phys unit=mmol/L | |||
|AP phys absMax= 59 | |||
|AP phys warnMax= 59 | |||
|AP H4= ≥52 | |||
|AP H3= >=41 and <52 | |||
|AP H1= >=32 and <41 | |||
|AP 0= >= 22 and <32 | |||
|AP L2= >=18 and <22 | |||
|AP L3= >=15 and <18 | |||
|AP L4= <15 | |||
|AP phys warnMin= 2 | |||
|AP phys absMin= 2 | |||
}} | |||
[[Category:APACHE II Physiological Variables]] | [[Category:APACHE II Physiological Variables]] | ||
Revision as of 23:57, 2017 January 7
| Data Element (edit) | |
| Field Name: | Ap_CO2 |
| CCMDB Label: | not stated |
| CCMDB tab: | not stated |
| Table: | L_Log |
| Data type: | number |
| Length: | single |
| Program: | CC |
| Created/Raw: | Raw |
| Start Date: | 1988-07-11 |
| End Date: | 2300-01-01 |
| Sort Index: | 69 |
The patient's Serum CO2 level in mmol/L.
- an ABG result is preferred, but if no ABG available during the first 24 hours in ICU then select the worst serum CO2. (NOTE: for APACHE II scoring: the serum CO2 replaces PH and assumes normal oxygenation). Do not use venous gases.
- IF no ABG & no serum CO2 available assume normal and record serum CO2 as 25.0.
- NOTE: Serum CO2 is really a measure of serum HCO3-, also called bicarbonate. The procedure used to measure HCO3- in the laboratory first converts it to CO2. In the body, 95% of the CO2 is present as HCO3-, so most of what is measured in the laboratory represents HCO3-.TOstryzniuk 15:42, 25 May 2009 (CDT)
| Apache Physiological Variable | |
| variable name | Serum CO2 |
| unit | mmol/L |
| absolute max allowed | 59 |
| warning max | 59 |
| high score 4 | ≥52 |
| high score 3 | >=41 and <52 |
| high score 2 | |
| high score 1 | >=32 and <41 |
| score 0 | >= 22 and <32 |
| low score 1 | |
| low score 2 | >=18 and <22 |
| low score 3 | >=15 and <18 |
| low score 4 | <15 |
| AP phys warnMin | 2 |
| AP phys absMin | 2 |
APACHE Score
This value is used to generate the APACHE Score.
Collecting Apache physiological variables
There are some specific rules to follow in choosing which one of several lab results to collect.
See APACHE physiological variable collection for details.
Cross Chcks
Rules described in APACHE_physiological_variable_collection#Exceptionally_high_or_low_values are implemented by Check APACHE physiological variable high low.