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Poisoning Severity Score in Acute Poisoning

Purpose: To use the Poisoning Severity Score to grade the severity of an acute poisoning.

Evaluation

Are you evaluating a patient who is acutely poisoned?

Is the patient still alive?

Age of the patient (enter 0 if neonate)

years

Does the patient show?

• ataxia or vertigo?

• confusion, hallucinations or delerium?

• ileus?

• pneumonitis or pneumonia?

• pneumothorax?

• clinical signs of hepatic failure?

• biochemical signs of hepatic failure, such as elevated ammonia levels?

• mild skin irritation?

• a first degree chemical burn of skin?

Percent of body surface area with second degree burns (enter from 0 to 100)

Percent of body surface area with third degree burns (enter from 0 to 100)

Sinus heart rate

beats/minute

Arterial pH

Bicarbonate

Serum potassium

Serum glucose

Serum creatinine

Serum CK

ALT

Upper limit of reference range for ALT

AST

Upper limit of reference range for AST

Percent methemoglobinemia (enter from 0 to 100)

Select an appropriate answer for each finding

Consciousness

Nervous energy

CNS respiratory control

Vision

Hearing

Peripheral nerve function

Seizures

Extrapyramidal symptoms

Cholinergic symptoms

Vomiting

Diarrhea

Abdominal discomfort and pain

Eating and swallowing

GI endoscopy findings

First degree GI chemical burns

Second or third degree GI chemical burns

Cough

Respiration

Airway

Bronchospasm

Pulmonary edema

Chest X-ray

Urine output

Proteinuria

Hematuria

Hemolysis

Coagulopathy

Anemia

Leukopenia

Thrombocytopenia

Muscle pain

Muscle symptoms

Rhabdomyolysis

Compartment syndrome

Hyperthermia

Hypothermia

Fluid or electrolyte disorder

Hypotension

Hypertension

Myocardial injury

Cardiac arrhythmias

AV heart block

ECG changes

Ocular irritation

Cornea

Allergic reaction to bites or stings

Damage caused by bite or sting

Swelling from bites or stings

Results

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Specialty

Objective

ICD-10