Chronic Health APACHE

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trying to pull together an clean up this mess... look at the original pages for now Ttenbergen 13:06, 28 October 2010 (CDT)

Dropdown in CCMDB.mdb Orignial APACHE II CH list with definitions
1. Immuncompromized Receiving therapy that suppresses resistance to infection such as: Template:Discussion such as what? Ttenbergen 13:06, 28 October 2010 (CDT)
2. Met Cancer
3. HematMalign

e.g. Lymphoma or Leukemia treated with

  • Chemo
  • Radiation
  • ≥10 mg prednisone
4. AIDS

at least one of the following:

  • ≥15mg/kg/day hydrocortisone
  • >3 mg/kg’day of methylprednisolone for >5 days Template:Discussion what if pt is there for less than 5 days?
  • sufficiently advanced disease to suppress resistance to infection
5. CRF-severe Receiving Chronic out-patient hemo- or peritoneal dialysis prior to hospital admission.
6. Liver-severe

any of:

  • biopsy proven cirrhosis & previously documented portal hypertension
  • past episodes of
    • GI bleeds related to portal hypertension or varicies
    • hepatic failure or encephalopathy or coma
7. Lung severe

any of the following that results in severe exercise restriction (i.e. unable to climb stairs or perform household duties):

  • COPD-severe
  • Restrictive lung disease-severe
  • Vascular disease-severe

or any of the following

  • documented chronic hypoxia or hypercapnia,
  • secondary polycythemia
  • Pulmonary HTN
  • on home O2
  • Ventilator dependent
8. CVS -SOB-min exert Class 4 Angina - pain @ rest or with minimal exertion
9. No Chronic Health