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Form Apache Skor
Form Apache Skor
Form Apache Skor
39 - 30 - 32 - 38.5- 34 - 36 -
TEMP oC ≥41 ≤29.9
40.9 31.9 33.9 38.9 35.9 38.4
130 - 110 - 50 - 70 -
MAP ≥160 ≤49
159 129 69 109
140 - 40 - 110 - 55 - 70 -
HR ≥180 ≤39
179 54 139 69 109
35 - 25 -
RR ≥50 ≤5 6-9 10 -11 12 -24
49 34
FiO2 ≥ 50% 350- 200-
≥500 <200
A – aDO2 499 349
FiO2<50%
<55 55-60 61-70 >70
(PaO2)mmHg
7.6 - 7.15- 7.25- 7.5 - 7.33-
Arterial PH ≥7.7 <7.15
7.69 7.24 7.32 7.59 7.49
20 - 15 -
Leukocyt ≥40 <1 1-2.9 3 -14.9
39.9 19.9
Umur ≥75 65-74 55-64 45-54 ≤44
Point Umur 6 5 3 2 0
Best Eye Respon-------1-4 poin 15
GCS Best Motor Respon---- 1-5 poin TOTAL MINUS
Best Verbal Respon -- 1-6 poin TOTAL
SCORING DOCTOR SIGNATURE TANGGAL TOTAL APACHE SKOR