System | Relative criteria | Absolute criteria |
---|---|---|
Cardiac | - Sinus tachycardia (120–130 beats per minutes); | - Sinus tachycardia (>130 beats per minutes persists after correcting hypotension, fever and stopping dopamine); |
- Atrial fibrillation; | ||
- Supraventricular tachycardia; | ||
- Ventricular arrhythmia; | ||
- Elevated creatine kinase isoenzymes or troponin; | ||
- Electrocardiogram changes of ischemia; | ||
Dermatologic | --- | - Moist desquamation; |
Gastrointestinal | - Diarrhea, up to 6 episodes/day | - Diarrhea, > 6 episodes/day |
- Ileus/abdominal distension; | - Severe abdominal distention affecting breathing; | |
- Bilirubin >7 mg/dl; | - Severe abdominal pain, unrelenting; | |
Hemodynamic | - Maximum neosynephrine 1–1.5 mcg/kg/min; | - Maximum neosynephrine 1.5-2 mcg/kg/min; |
- Maximum neosynephrine >0.5 mcg/kg/min; | - Maximum neosynephrine >0.8 mcg/kg/min; | |
Hemorrhagic | - Guiac + sputum, emesis, stool; | - Frank blood sputum, emesis, stool; |
- Platelets 30,000-50,000/mm3; | - Platelets <30,000/mm3; | |
Infections | --- | - Strong clinical suspicion or documented; |
Muscoloskeletal | - Weight gain >15%; | |
- Extremity tightness; | - Extremity paresthesias; | |
Neurologic | - Vivid dreams; | - Hallucination; |
- Emotional lability; | - Persistent crying; | |
- Mental status changes not reversible in 2 hours; | ||
- Inability to subtract 7 s or spell “world” backwards | ||
disorientation; | ||
Pulmonary | - Resting shortness of breath; | - >4 L O2 nasal cannula for saturation >95% or 40% O2 mask for saturation >95%; |
- 3-4 L O2 nasal cannula for saturation >95%; | - Moist rates involving more than half of both lung fields; | |
- Moist rates involving more than half of both lung fields; | - Endotracheal intubation; | |
- Pleural effusion requiring tap or chest tube; | ||
Renal | - Urine 80–160 ml/shift; | - Urine <80 ml/shift; |
- Urine 10–20 ml/h; | - Urine <10 ml/h; | |
- Creatinine 2.5-2.9 mg/dl. | - Creatinine >3 mg/dl. |