This is the Impact Registry August 2020 case scenario discussing sequence 5160 inotrope. A 45-year-old female with a history of atrial septal defect and diabetes mellitus is brought to the emergency department by EMS, status post-cardiac arrest with return of spontaneous circulation after suspected STEMI. Per EMS, the patient received CPR for approximately five minutes and received one milligram of epinephrine via the intraosseous route. During transport, the patient's blood pressure was 111 over 68, and her heart rate remained in the 60s. The ECG and the ED is positive for STEMI, and the cath lab is notified of the STEMI. Prior to engaging guidewire, the patient's blood pressure is noted to be 90 over 40, heart rate is 49, and she is given one dose of epinephrine IV push. How is sequence 5160 inotrope coded? No or yes? Please take a few seconds to review the documentation and question. In the given scenario, no is coded to sequence 5160 inotrope used. Sequence 5160 inotrope seeks to capture when the patient receives a positive inotrope such as dopamine, dobutamine, epinephrine, vasopressin, norepinephrine, etc. as an IV infusion. In the given scenario, while the patient receives a positive inotrope, it is administered as a one-time IV push. The positive inotropes the registry seeks to capture are best explained by the definition of the selections in the child data element sequence 5165 inotrope use. Thank you for viewing the Impact Registry Monthly Case Scenario for August 2020.

Impact Registry

case scenario

45-year-old female

atrial septal defect

diabetes mellitus