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APACHE II

Calculator
When to use
Age (years)
< 45
45-54
55-64
65-74
≥ 75
Rectal temperature (°C [°F])
< 30 [< 86]
30-31.9 [86-89.5]
32-33.9 [89.6-93.1]
34-35.9 [93.2-96.7]
36-38.4 [96.8-101.2]
38.5-38.9 [101.3-102.1]
39-40.9 [102.2-105.7]
≥ 41 [≥ 105.8]
Mean arterial pressure (mmHg)
≥ 160
130-159
110-129
70-109
50-69
< 50
Arterial pH
≥ 7.7
7.6-7.69
7.5-7.59
7.33-7.49
7.25-7.32
7.15-7.24
< 7.15
Heart rate (bpm)
≥ 180
140-179
110-139
70-109
55-69
40-54
< 40
Respiratory rate (rpm)
≥ 50
35-49
25-34
12-24
10-11
6-9
< 6
Serum sodium (mEq/L)
≥ 180
160-179
155-159
150-154
130-149
120-129
111-119
< 111
Serum potassium (mEq/L)
≥ 7.0
6.0-6.9
5.5-5.9
3.5-5.4
3.0-3.4
2.5-2.9
< 2.5
Serum creatinine (mg/dL)
≥ 3.5
2.0-3.4
1.5-1.9
0.6-1.4
< 0.6
Acute renal failure
No
Yes
Hematocrit (%)
≥ 60
50-59.9
46-49.9
30-45.9
20-29.9
< 20
White blood cell count (×10**3/mcL)
≥ 40
20-39.9
15-19.9
3-14.9
1-2.9
< 1
Glasgow Coma Scale (GCS)
Oxygenation (use PaO₂ if FiO₂ < 50% or non-intubated, otherwise use A-a gradient; mmHg)
PaO₂ > 70
PaO₂ 61-70
PaO₂ 55-60
PaO₂ < 55
A-a < 200
A-a 200-349
A-a 350-499
A-a ≥ 500
Setting
Nonoperative
Emergency surgery
Elective surgery
Severe organ failure (liver cirrhosis, congestive heart failure, chronic lung disease, chronic kidney disease on dialysis) or immunocompromise
No
Yes
Calculation
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