Shock, cardiogenic: Difference between revisions
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== Additional Info == | == Additional Info == | ||
===ICU=== | ===ICU=== | ||
These are meant to be criteria to consider in cardiogenic shock. It is understood that not all patients will fall nicely into all listed criteria. Remember, use your judgement......... | *These are meant to be criteria to consider in cardiogenic shock. It is understood that not all patients will fall nicely into all listed criteria. Remember, use your judgement......... | ||
# the patient is in shock | # the patient is in shock -- i.e. substantial absolute or relative hypotension and/or other evidence of systemic hypoperfusion (such as elevated serum lactate). | ||
# there is no evidence of septic | # there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult. | ||
# parameters to consider for diagnosis of cardiogenic shock: | # parameters to consider for diagnosis of cardiogenic shock: | ||
#*Definite pulmonary edema | #*Definite pulmonary edema | ||
| Line 36: | Line 22: | ||
#*CI < 2.2 | #*CI < 2.2 | ||
#*PWP > 20 | #*PWP > 20 | ||
#*Requiring inotropic support | #*Requiring inotropic support | ||
#*Ejection fraction <35% | #*Ejection fraction <35% | ||
#*Current diagnosis of ACS or cardiomyopathy | #*Current diagnosis of ACS or cardiomyopathy | ||
| Line 43: | Line 29: | ||
===Medicine ward=== | ===Medicine ward=== | ||
* Is not{{g | normally}} managed on a medicine ward therefore we would not see it as an admitting diagnosis. Cardiogenic shock can be a '''complication''' that occurs on a medicine ward which {{g | usually}} requires a transfer to the ICU unless the patient receives palliative care or dies before being sent to the ICU. [[User:TOstryzniuk|TOstryzniuk]] 18:50, 1 June 2009 (CDT) | * Is not{{g | normally}} managed on a medicine ward therefore we would not see it as an admitting diagnosis. Cardiogenic shock can be a '''complication''' that occurs on a medicine ward which {{g | usually}} requires a transfer to the ICU unless the patient receives palliative care or dies before being sent to the ICU. [[User:TOstryzniuk|TOstryzniuk]] 18:50, 1 June 2009 (CDT) | ||
== Alternate ICD10s to consider coding instead or in addition == | |||
*[[Shock, hypovolemic shock or hemorrhagic shock]] | |||
*[[Shock, septic]] | |||
*[[Shock, cardiogenic]] | |||
*[[Dehydration (volume depletion, hypovolemia) ]] | |||
== Candidate [[Combined ICD10 codes]] == | |||
*Also code the cause, e.g. AMI, valvular disease, etc. | |||
== Legacy == | == Legacy == | ||
Revision as of 15:13, 1 November 2017
| ICD10 Diagnosis | |
| Dx: | Shock, cardiogenic |
| ICD10 code: | R57.0 |
| Pre-ICD10 counterpart: | Cardiogenic Shock |
| Charlson/ALERT Scale: | none |
| APACHE Como Component: | none |
| APACHE Acute Component: | 2019-0: Cardiogenic Shock |
| Start Date: | |
| Stop Date: | |
| Data Dependencies(Reports/Indicators/Data Elements): | No results |
| External ICD10 Documentation | |
This diagnosis is a part of ICD10 collection.
Additional Info
ICU
- These are meant to be criteria to consider in cardiogenic shock. It is understood that not all patients will fall nicely into all listed criteria. Remember, use your judgement.........
- the patient is in shock -- i.e. substantial absolute or relative hypotension and/or other evidence of systemic hypoperfusion (such as elevated serum lactate).
- there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult.
- parameters to consider for diagnosis of cardiogenic shock:
- Definite pulmonary edema
- May require ventilation for pulmonary edema.
- May require IABP
- CI < 2.2
- PWP > 20
- Requiring inotropic support
- Ejection fraction <35%
- Current diagnosis of ACS or cardiomyopathy
- Current diagnosis of severe cardiac valve disease.
Medicine ward
- Is not normally managed on a medicine ward therefore we would not see it as an admitting diagnosis. Cardiogenic shock can be a complication that occurs on a medicine ward which usually requires a transfer to the ICU unless the patient receives palliative care or dies before being sent to the ICU. TOstryzniuk 18:50, 1 June 2009 (CDT)
Alternate ICD10s to consider coding instead or in addition
- Shock, hypovolemic shock or hemorrhagic shock
- Shock, septic
- Shock, cardiogenic
- Dehydration (volume depletion, hypovolemia)
Candidate Combined ICD10 codes
- Also code the cause, e.g. AMI, valvular disease, etc.
Legacy
- SubDX 7-Never used.Trish Ostryzniuk 17:32, 2012 June 20 (CDT)
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