Calculate the Clinical Pulmonary Infection Score (CPIS) for a patient with the following assessments: 56-year-old female,post motor vehicle accident,intubated and mechanically ventilated for 4 days.Static compliance is 42 cm H₂O/L.Tracheobronchial suctioning reveals a moderate amount of yellow secretions;culture and sensitivity is pending.Breath sounds reveal bilateral lower lobe coarse rhonchi.Chest radiograph shows diffuse infiltrates.Partial pressure of oxygen in the arteries (PaO₂) is 72 mm Hg on 40% supplemental oxygen.Patient has a temperature of 39.2°C,and white blood cell count (WBC) is 12,800 $\mu$
L.

Question

Calculate the Clinical Pulmonary Infection Score (CPIS) for a patient with the following assessments: 56-year-old female,post motor vehicle accident,intubated and mechanically ventilated for 4 days.Static compliance is 42 cm H₂O/L.Tracheobronchial suctioning reveals a moderate amount of yellow secretions;culture and sensitivity is pending.Breath sounds reveal bilateral lower lobe coarse rhonchi.Chest radiograph shows diffuse infiltrates.Partial pressure of oxygen in the arteries (PaO₂) is 72 mm Hg on 40% supplemental oxygen.Patient has a temperature of 39.2°C,and white blood cell count (WBC) is 12,800

\mu

L.

Quizplus · Accepted Answer

Using the CPIS criteria found in Table 14-1,the score is calculated as follows: Temperature of 39.2°C = 2 points;white blood cell (WBC)is 12,800$\mu$ L = 1 point;Secretions are present and nonpurulent = 1point;partial pressure of oxygen in the arteries/fractional inspired oxygen (PaO₂/F_IO₂)= 72/0.4 = 180 with no acute respiratory distress syndrome (ARDS)= 2 points;Chest radiograph shows diffuse infiltrates = 1 point;and compliance and saturation in the blood phase (C & S)is pending = 0 points,for a total of 7 points.

Calculate the Clinical Pulmonary Infection Score (CPIS)for a Patient with the Following