O07.31
Shock following failed attempted termination of pregnancy
Clinical Classification Guidelines
Inclusion Terms
- Circulatory collapse following failed attempted termination of pregnancy
- Shock (postprocedural) following failed attempted termination of pregnancy
Excludes Type 1
- shock due to infection following failed attempted termination of pregnancy (O07.37)
Medical Intelligence & Overview
Shock following a failed attempt to terminate pregnancy is a serious medical condition that can occur if the body does not receive enough blood flow after a procedure aimed at ending a pregnancy. This situation, known as circulatory collapse, requires immediate medical attention to restore blood circulation and address the underlying causes. Understanding what this condition entails can help patients and caregivers recognize warning signs and seek prompt care when necessary.
Causes & Symptoms
Clinical Causes: Significant blood loss during or after the procedure Infection leading to sepsis and systemic inflammatory response Reaction to anesthesia or medications used during termination Vasovagal response causing sudden blood vessel dilation Complications from uterine perforation or trauma
Key Symptoms: Dizziness or fainting Rapid heartbeat (tachycardia) Weakness and pallor (pale skin) Low blood pressure (hypotension) Cold or clammy skin Confusion or altered mental state Shortness of breath Rapid breathing
Diagnostic & Treatment
Diagnosis Path: Diagnosis of shock following a failed pregnancy termination involves a combination of clinical assessment and diagnostic tests. Medical professionals will evaluate vital signs, blood pressure, heart rate, and oxygen levels. Laboratory tests may include blood counts to assess blood loss, blood cultures if infection is suspected, and metabolic panels. Imaging studies like ultrasound may be used to identify any uterine trauma or retained tissue. Prompt diagnosis is vital to initiating appropriate treatment and preventing further complications.
Treatment Protocols: Administering intravenous fluids to restore blood volume Medications to raise blood pressure and improve circulation Blood transfusions if significant blood loss has occurred Antibiotics if an infection or sepsis is present Monitoring cardiac and respiratory function continuously Addressing any procedural complications, such as uterine perforation Providing supportive care until circulatory stability is achieved
Clinical Advice & FAQs
Billing Guidance
Is O07.31 a billable ICD-10 code?
Yes, O07.31 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report O07.31?
Clinical documentation must specify the nature of Shock following failed attempted termination of pregnancy and any associated comorbidities for accurate reporting.
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