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 are 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.

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Quizplus · Accepted Answer

Using the CPIS criteria found in Table 14-2,the score is calculated as follows: Temperature of 39.2° C = 2 points; white blood cell (WBC)is 12,800 μL = 1 point; secretions are present and nonpurulent = 1 point; partial pressure of oxygen in the arteries/fractional inspired oxygen (PₐO₂/FɪO₂)= 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 point,for a total of 7 points.

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