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Physiologic Stability Index (PSI)

Purpose: To assess the severity of acute illness for patients in the pediatric ICU.

Evaluation

Is the patient's age less than 1 year?

Patient's age

years

Body weight

Height

Systolic blood pressure

mm Hg

Diastolic blood pressure

mm Hg

Heart rate

beats per minute

Cardiac output

L/min

Arterial-to-mixed venous oxygen content difference

mL O2 per dL (vol %)

Central venous pressure

mm Hg

Pulmonary artery wedge pressure or left atrial pressure

mm Hg

Respiratory rate

breaths/minute

PaO2

FIO2 (enter as decimal from 0.2 to 1.0)

PaCO2

PH

Glasgow Coma Score

Intracranial pressure

mm Hg

Has the patient had grand mal seizures?

Has the patient had status epilepticus (continuous)?

Has the patient had focal seizures?

Are the pupils fixed and dilated?

Are the pupils unequal & sluggish?

Are the pupils equal but sluggish?

Hemoglobin

g/dL

WBC count

Platelet count

PT of patient

seconds

PTT of patient

seconds

PT of normal control

seconds

PTT of normal control

seconds

Fibrin split products

µg/mL

BUN

Creatinine

Urine output

mL per hour

AST

IU/L

ALT

IU/L

Amylase

U/L

Total bilirubin

mg/dL

Serum albumin

Sodium

mEq/L

Potassium

mEq/L

Calcium

Glucose

Osmolality

mOsm per kg water

Bicarbonate

mEq/L

Mortality Risk

PSI at admission

PSI second day

PSI third day

PSI fourth day

Results

Please fill out required fields.

Specialty

Objective

ICD-10