RPART Analysis for Identifying Patient at Risk for Septic Shock: With Arterial Blood Gases

Purpose: To identify a hospitalized patient who is at risk for septic shock using the RPART model of Thiel et al using arterial blood gas findings.

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Evaluation

Are you evaluating a hospitalized patient who is not in the ICU?

Yes

Systolic blood pressure

mm Hg

PaO2

White blood cell count

Percent neutrophils in the differential count (enter from 0 to 100)

Serum BUN

Serum chloride

Arterial pH

Serum bicarbonate

Serum albumin

Results

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Results Interpretation and Description References Next Steps

Data complete?

Evaluation appropriate?

Absolute neutrophil count per µL

Is the patient at increased risk for septic shock?

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Interpretation and Description

References

Next Steps in Evaluation

Diagnosis

Risk Factors
Clinical Diagnosis, Including Family History For Genetics
Laboratory Tests
- Gram Negative Bacteremia | Classification for Severity of Underlying Illness
- Decision Rule to Identify Patient Who Should Have a Blood Culture
Other Testing
- Decision Rule to Identify Patient Who Should Have a Blood Culture
Criteria For Diagnosis
Severity, Prognosis, Stage
Complications
- Pitt Bacteremia Score of Paterson et al
- Prediction Rule for Bacteremia in Patient with Community Acquired Pneumonia
Differential Diagnosis And Mimics, Red Flags
- Criteria for Distinguishing True Bacteremia from Contaminated Blood Cultures

Monitoring

Disease Progression
- Sepsis Syndrome | Risk of Bacteremia

Specialty

Infectious Diseases

Objective

risk factors
laboratory tests

ICD-10

A40 - Streptococcal sepsis
A41 - Other sepsis
A49.9 - Bacterial infection, unspecified

Info

Purpose: To identify a hospitalized patient who is at risk for septic shock using the RPART model of Thiel et al using arterial blood gas findings.

Specialty: Infectious Diseases

Objective: risk factors, laboratory tests

ICD-10: A40, A41, A49.9,

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