Generating the APACHE II Score and Its Acute Physiology Score (APS)


vital signs	maximum	minimum
temperature, rectal			°C
mean arterial pressure			mm Hg
heart rate			beats/min
respiratory rate			breaths/min

Patient's age

years

FIO2 (enter as a decimal fraction from 0.21 to 1.0)

A-aDO2

PaO2

Arterial pH

Serum sodium

Serum potassium

Serum creatinine

Does the patient have acute renal failure?

Yes

Hematocrit (enter from 0 to 100)

percent

WBC count

Glasgow Coma Score

Does the patient have a history of?

• severe liver disease?

Yes

• severe heart disease?

Yes

• severe lung disease?

Yes

• chronic dialysis?

Yes

• chemotherapy?

Yes

• radiation therapy?

Yes

• immunosuppressive therapy?

Yes

• high dose steroid therapy?

Yes

• AIDS?

Yes

• immunodeficiency?

Yes

• high stage lymphoma?

Yes

• advanced leukemia?

Yes

• organ transplantation?

Yes

Operative status

Evaluation

Results

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Monitoring

Specialty

Objective

ICD-10

Purpose: To assess a hospitalized patient for severity of disease using the APACHE II score.