Therapeutic Intervention Medical Scale is a rearranged form of the TISS, which incorporates 75 questions, while TISS - 28 just 28 questions. The inquiries are isolated into 7 gatherings of mediation: Basic, breath, flow, kidneys, and so on ..

The response to the inquiry is Yes or No. Each so adds focuses to the last score.

In its unique application TISS and - 28 were utilized for the count of working time attendants expected to finish understanding consideration. This time is figured in extent to the eight-hour movement of medical attendants in serious consideration units. They evaluated that every point is 10.6 minutes of a medical caretaker in 8 hours to change it.

1. Essential

a) Monitoring - 5 focuses. The estimation and recording of basic signs each 1 h and figuring of liquid equalization of no less than 3 times each day. b) Laboratory - 1 point. Blood testing for research facility biochemical or microbiological. c) A solitary medication - 2 focuses. Giving one of the medication the distance (mixture of electrolyte without the expansion of medications or immunoglobulin excluded in the score). d) Many medications - 3 focuses. Giving more than one medication - not relevant immunoglobulin (1d score bar 1c). Passing this point does not preclude further focuses: vasoactive medications, constrained diuresis. e) dressings - standard - 1 point. Day by day change dressings (catheters) and the counteractive action and treatment of bedsores. f) Frequent change of dressings - 1 point. You have to change the dressing no less than 3 x change nursing. Try not to check the treatment and aversion of bedsores and changing dressings with vascular catheters and drenażach. g) Care seepages - 3 focuses. Applies to the consideration of the channels, which were presented by unnatural openings in the human body: waste injuries working pleural, transdermal stoma (PEG), and so on suprapubic catheter. To score does not check test gastric and urinary catheter. h) Treatment in a hatchery - 5 pts. (just TISS-28 for youngsters) i) Phototherapy - 3 pts. (just TISS-28 for kids)

2. Relaxing

a) Mechanical ventilation - 5 focuses. All types of mechanical ventilation (counting CPAP). b) Maintaining breathing - 2 focuses. Breathing through manufactured aviation route, oxygen treatment, yet without mechanical guide (score 2b avoids score 2a). c) The counterfeit respiratory framework - 1 point. Medications with manufactured aviation route (endotracheal tube, tracheostomy). d) Respiratory Physiotherapy - 1 point. Exercise based recuperation, inward breath, suction discharges from the respiratory tract. e) Treatment of surfactant - 5 pts. (just TISS-28 for youngsters) f) Treatment of nitric oxide - 8 pts. (just TISS-28 for kids)

3. Course

a) Single vasoactive pharmaceutical - 3 focuses. These include: vasopressors (epinephrine, norepinephrine, dopamine), inodilatatory (amrinone, dobutamine), wazodilatatory (nitroglycerin, urapidil). This gathering does exclude drugs controlled orally, subcutaneously, and the test. b) Many of vasoactive medications - 4 focuses. (score 3b avoid score 3a) c) enormous loss of liquid - 4 focuses. Liquid admission more prominent than 3 l/m2 territory. body weight/day (ie. approx. 5-6 liters for each day in a grown-up patient measuring approx. 70kg) paying little heed to the sort. To score does not tally towards liquid admission by hemofiltration and hemodialysis. d) The blood vessel catheter - 5 focuses. Fringe blood vessel catheter embedded in the intrusive estimation of circulatory strain and gathering blood tests and lab tests. Not material intrusive checking and assessment of the cardiovascular framework. Score is figured from the date of foundation until the evacuation of the catheter. e) catheter in the aspiratory vein - 8 focuses. Obtrusive observing and assessment of the circulatory framework utilizing a Swan-Ganz catheter with the estimation of cardiovascular yield or not, haemodynamic checking utilizing insignificantly intrusive techniques. Catheter Swan-Ganz additionally considers a helpful intercession (score 6a or 6b). f) catheter in the focal vein - 2 focuses. Despite where presumptions. The end of the catheter must exist in the mid-section (RTG). Score is computed from the date of suppositions until the evacuation of the catheter. Not appropriate intrusive checking and assessment of the cardiovascular framework. g) Resuscitation - 3 focuses. Getting revival after heart failure in the previous 24 hours, yet after admission to the ward. To score considered a solitary defibrillation. To score does not include hit the mid-section.

4. Kidneys

a) Hemofiltration, dialysis - 3 focuses. Additionally treatments fractionation of blood parts, peritoneal dialysis, ceaseless innovation. b) estimation of pee yield - 2 focuses. Quantitative estimation of voided pee method for a catheter or without (estimation min. At 8 hours). c) constrained diuresis - 3 focuses. Pharmacological Force (furosemide> 0.5mg/kg/d, ethacrynic corrosive, mannitol) as a solitary measurements or by constant mixture. Dopamine here do exclude (considered a solitary supply of the medication).

5. Digestion system

an) acidosis/alkalosis - 4 focuses. The need to treat extensive tissue acidosis or alkalosis by alkalization (supply sodium hydrogencarbonate arrangement, TRIS or fermentation). There must be reported affirmation of pathology, eg. Blood pH <7.33 or> 7.49 and the relating deviation worth BE. To score does exclude the remuneration of respiratory and treatment of the fundamental infection. b) parenteral sustenance - 3 focuses. Supply course settled catheter focal venous vitality substances and amino acids. To score is excluded in the supply of the same glucose or arrangements of low osmolarity through fringe veins. c) Enteral Nutrition (test) - 2 focuses. Nourishment through a tube, paying little respect to the way it was presented: the mouth, nose, PEG stoma; in a volume of no less than 500 ml/d. (the sum does not have any significant bearing to TISS-28 and a children's).

6. Different mediations

an) A solitary mediation OAiIT - 3 focuses. Made solely in OAiIT: intubation, tracheotomy, cardioversion, electrical incitement of the heart, endoscopy, Gastric lavage, foundation test Sengstaken, Swan-Ganz catheter, the inflatable wewnątrzaortalnego, bronchoscopy. Excluded in routine estimations of parameters and indicative methodology: X-beam, ECG, ultrasound, change dressings, venous catheterization, catheterization of the supply routes, lumbar cut, cut and deplete pleural, peritoneal, pericardial. b) Numerous mediations OAiIT - 5 focuses. A portion of the aforementioned mediations made in the OAiIT. (6b score bar score 6a) c) Operations outside OAiIT - 5 focuses. Every treatment indicative or restorative requesting transport OAiIT and back, for instance. Surgery, figured tomography. Excluded in the intercession made before admission to OAiIT or amid exchange of the patient to another unit.

7. CNS

a) Measurement of ICP - 4 focuses. The estimation of over-or subdural, or intraventricular interstitial.