APACHE II Score Form
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HIGH
ABNORMAL RANGE |
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LOW ABNORMAL RANGE |
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PHYSIOLOGIC
VARIABLE |
+4 |
+3 |
+2 |
+1 |
0 |
+1 |
+2 |
+3 |
+4 |
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1 |
Temperature
rectal (oC) |
>=41 |
39-40.9 |
|
38.5-38.9 |
36.0-38.4 |
34-35.9 |
32-33.9 |
30-31.9 |
<=29.9 |
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2 |
Mean
arterial pressure = (2 x diastolic+systolic)/3 |
>=160 |
130-159 |
110-129 |
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70-109 |
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50-69 |
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<=49 |
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3 |
Heart
rate (venticular response) |
>=180 |
140-179 |
110-139 |
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70-109 |
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55-69 |
40-54 |
<=39 |
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4 |
Respiratory
rate (non-ventilated or ventilated) |
>=50 |
35-49 |
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25-34 |
12-24 |
10-11 |
6-9 |
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<5 |
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5 |
Oxygenation A-aDO2
or PaO2(mmHg) a)FiO2>0.5:record
A-aDO2 |
>=500 |
350-499 |
200-349 |
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<200 |
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b)FiO2<0.5:record
only PaO2 |
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>70 |
61-70 |
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55-60 |
<55 |
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6 |
Arterial
pH If no ABGs
record Serum HCO3 below |
>=7.7 |
7.6-7.69 |
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7.5-7.59 |
7.33-7.49 |
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7.25-7.32 |
7.15-7.24 |
<7.15 |
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7 |
Serum
Sodium |
>=180 |
160-179 |
155-159 |
150-154 |
130-139 |
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120-129 |
111-119 |
<=110 |
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8 |
Serum
Potassium |
>=7 |
6-6.9 |
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5.6-5.9 |
3.5-5.4 |
3-3.4 |
2.5-2.9 |
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<2.5 |
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9 |
Serum Creatinin (mg/dl) Double Point for acute renal failure |
>=3.5 |
2-3.4 |
1.5-1.9 |
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0.6-1.4 |
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<0.6 |
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10 |
Hematocrit (%) |
>=60 |
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50-59.9 |
46-49.9 |
30-45.9 |
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20-29.9 |
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<20 |
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11 |
White
Blood Count |
>=40 |
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20-39.9 |
15-19.9 |
3-14.9 |
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1-2.9 |
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<1 |
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12 |
(Score = 15 minus actual GCS) |
15-GCS= |
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A |
Total
Acute Physiology Score (APS) |
Sum of
the 12 individual variable points
= |
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* |
Serum
HCO3(venous-mMol/L) Not preferred, use if no ABGs |
<52 |
41-51.9 |
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32-40.9 |
22-31.9 |
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18-21.9 |
15-17.9 |
<15 |
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(Circle appropriate response) |
B Age |
Points |
C |
Chronic
Healts Points |
Apache-II Score (sum
of A+B+C) |
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Eyes open 4 - spontaneously 3 - to verbal 2 - to painful stimul 1 - no response Motor response 6 - to verbal command 5 - localizes to pain 4 - withdraws to pain 3 - decorticate 2 - decerebrate 1 - no response |
verbal - nonintubated 5 - oriented and controversed 4 - disoriented and talks 3 - inaproppriate words 2 - incomprehensible sounds 1 - no response verbal - intubated 5 - seems able to talk 3 - questionable ability to talk 1 - generally unresponsable |
Age <44 45-54 55-64 65-74 >75 Age points = |
Points 0 2 3 5 6 |
Liver Cardiovascular Pulmonary Kidney Immune |
If any of the 5 CHE categories is answered with yes
give +5 points for non-operative or emergency postoperative patients - Cirrhosis with PHT or encephalopathy - class IV angina or at rest or with minimal self
care activities - chronic hypoxemia or hypercapnia
or polycytaemia of PHT > 40mmHg - chronic peritoneal or hemodyalys - immune compromised host Chronic Health Points = |
A APS points + B Age points + C Chronic Health Points __________ = Total
Apache-II |
Credit
given to Nick Mendel,