NYHA and Modified Ross Heart Failure Classification for Children

The Ross Heart Failure Classification was developed to provide a global assessment of heart failure severity in infants, and has subsequently been modified to apply to all pediatric ages. The modified Ross Classification incorporates feeding difficulties, growth problems, and symptoms of exercise intolerance into a numeric score comparable with the NYHA classification for adults.

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The Sequential Organ Failure Assessment (SOFA) Score

The SOFA system was created in a consensus meeting of the European Society of Intensive Care Medicine in 1994 and further revised in 1996. The SOFA is a six-organ dysfunction/failure score measuring multiple organ failure daily. Each organ is graded from 0 (normal) to 4 (the most abnormal), providing a daily score of 0 to 24 points. The objective in the development of the SOFA was to create a simple, reliable, and continuous score easily obtained in every institution.

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Indications of Dialysis in Renal Failure

Indications of dialysis in acute renal failure (ARF)

  • Severe fluid overload
  • Refractory hypertension
  • Uncontrollable hyperkalemia
  • Nausea, vomiting, poor appetite, gastritis with hemorrhage
  • Lethargy, malaise, somnolence, stupor, coma, delirium, asterixis, tremor, seizures,
  • Pericarditis (risk of hemorrhage or tamponade)
  • bleeding diathesis (epistaxis, gastrointestinal (GI) bleeding and etc.)
  • Severe metabolic acidosis
  • Blood urea nitrogen (BUN) > 70 – 100 mg/dl Continue reading

Guidelines for Urinary Indices in Acute Renal Failure (ARF)

Guidelines for urinary indices whereby established Acute Renal Failure (ARF) can be distinguished from renal vasoconstriction with intact tubular function (prerenal azotemia).

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Criteria for Chronic Respiratory Failure in Infants and Children

Criteria for Chronic Respiratory Failure due to Cardiopulmonary Disorders in Infants and Children

Clinical criteria

  • Decreased inspiratory breath sounds

  • Increased retractions, use of accessory muscles

  • Cyanosis breathing room air

  • Decreased level of normal activity/function

  • Poor weight gain (mass) (IMPORTANT)

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Knaus Criteria for Multiple System Organ Failure (MSOF)

Multiple systems organ failure is said present when more than one of the system dysfunctions detected by test values exceeding the threshold values.

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King´s College Hospital Criteria for Liver Transplantation in Fulminant Hepatic Failure

Acetaminophen-induced disease

Arterial pH <7.3 (irrespective of the grade of encephalopathy)

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NYHA Functional Classification for Congestive Heart Failure

The New York Heart Association (NYHA) Functional Classification provides a simple way of classifying heart disease (originally cardiac failure), useful for preoperative assessment. It places patients in one of four categories, based on how much they are limited during physical activity:

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Framingham Criteria for Congestive Heart Failure

Diagnosis of CHF requires the simultaneous presence of at least 2 major criteria or 1 major criterion in conjunction with 2 minor criteria.

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Boston Criteria for Diagnosing Heart Failure

The Boston criteria uses the information from history, physical examination, and chest radiography to categorize the diagnosis of heart failure.

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