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    • Lung and Respiratory - APACHE II Scoring System

    APACHE II Scoring System

    Input:
    Temperature (Degrees C)
     
    Mean Arterial Pressure (mmHg)
     
    Heart Rate
     
    Respiratory Rate
     
    A-aPO2(FiO2>50%) or PaO2(FiO2<50%)
     
    Arterial pH or HCO3
     
    Serum Na+ (mEq/L)
     
    Serum K+ (mEq/L)
     
    Serum Creatinine (ARF means Acute Renal Failure)
     
    Hematocrit
     
    WBC Count(10^3/#gl)
     
    Glasgow Coma Score
    Enter Glasgow score and computer subtracts from 15 for point value
    Age (years)
     
    Chronic Health Problems: 1) Cirrhosis of the liver confirmed by biopsy 2) New York Heart Association Class IV 3) Severe COPD -- Hypercapnia, home O2 use, or pulmonary hypertension 4) On regular dialysis or 5) Immunocompromised
    None (0 points)
    Non-Surgical (5 points)
    Emergent operation (5 points)
    Elective operation (2 points)
    Result: Total Criteria Point Count:


     
    Apache II Score / Approximate Mortality Interpretation

    • For the APACHE II score to be correct, a value must be selected for every variable.
    • The numbers in the parentheses represent the point value assigned to each clinical parameter above. The Apache Score is the sum of these points.
    • Chronic Dx includes biopsy proven cirrhosis and documented portal hypertension; past upper GI bleeding attributed to portal hypertension; prior hepatic failure; prior hepatic encephalopathy; NYHA class IV; chronic restrictive, obstructive, or vascular lung disease resulting in severe exercise restriction; documented hypoxemia or hypercapnia; secondary polycythemia; severe pulmonary hypertension (>40 mmHg); ventilator dependence; chronic hemodialysis.
    • Chronic Dx also includes immunosuppression from chemotherapy, radiation therapy, long-term or recent high-dose steroids, immunodeficiency (eg, leukemia, lymphoma, AIDS).
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