Scoring Systems Flashcards

Question

How is CHA2DS2-VASc score calculated?

Answer 1

Congestive heart failure +1 Hypertension +1 Age 75 years or older +2 Diabetes mellitus +1 Previous stroke, transient ischaemic attack or thromboembolism +2 Vascular disease +1 Age 65-74 years+1 Sex category (female) +1 Anti-coagulate in males scoring 1 and females scoring 2

Answer 2

BTS classification of asthma severity

Answer 3

Moderate asthma - Increasing symptoms PEF >50-75% best or predicted No features of acute severe asthma Acute severe asthma- Any one of: - PEF 33-50% best or predicted - respiratory rate ≥25/min - heart rate ≥110/min - inability to complete sentences in one breath Life threatening asthma- Altered conscious level PEF <33% best or predicted Exhaustion SpO, < 92% Arrhythmia PaO, < 8 кРа Hypotension 'normal' PaCO, (4.6-6.0 kPa) Cyanosis Silent chest Poor respiratory effort Near-fatal asthma - Raised PaCo, and/or requiring mechanical ventilation with raised inflation pressures

Answer 4

MRC dyspnoea scale?

Answer 5

-I only get breathless with strenuous exercise=0 -I get short of breath when hurrying on level ground or walking up a slight hill =1 -On level ground, I walk slower than people of my age because of breathlessness, or I have to stop for breath when walking at my own pace on the level =2 -I stop for breath after walking about 100 yards or after a few minutes on level ground =3 -I am too breathless to leave the house or I am breathless when dressing/undressing =4

Answer 6

classified based on estimated glomerular filtration rate (eGFR) and albuminuria (albumin in the urine) G1: eGFR > 90 ml/min/1.73m² (Normal or High). G2: eGFR 60-89 ml/min/1.73m² (Mild Reduction). G3a: eGFR 45-59 ml/min/1.73m² (Mild-Moderate Reduction). G3b: eGFR 30-44 ml/min/1.73m² (Moderate-Severe Reduction). G4: eGFR 15-29 ml/min/1.73m² (Severe Reduction). G5: eGFR < 15 ml/min/1.73m² (Kidney Failure). Albuminuria (A1-A3): Albuminuria is measured using the albumin-to-creatinine ratio (ACR) or urinary albumin-to-creatinine ratio (uACR). A1: Normal to mildly increased albuminuria (<30 mg/g or <3 mg/mmol). A2: Moderately increased albuminuria (30-300 mg/g or 3-30 mg/mmol). A3: Severely increased albuminuria (>300 mg/g or >30 mg/mmol).

Answer 7

Grade 0: No contraction. Grade 1: Flicker or trace of contraction. Grade 2: Active movement with gravity eliminated. Grade 3: Active movement against gravity. Grade 4: Active movement against gravity and resistance. Grade 5: Normal strength

Answer 8

ASA grading

Answer 9

ASA I: A normal healthy patient with no clinically significant medical history. ASA II: A patient with mild systemic disease, such as well-controlled diabetes, mild hypertension, or smoking. ASA III: A patient with severe systemic disease that limits their ability to function normally, like poorly controlled diabetes, COPD, or obesity. ASA IV: A patient with severe systemic disease that is a constant threat to life, such as recent heart attack or stroke, or severe valve dysfunction. ASA V: A moribund patient who is not expected to survive without the procedure. ASA VI: A declared brain-dead patient whose organs are being removed for donation

Scoring Systems Flashcards

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