Forum.
References
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|
Score |
Response |
|
Ramsay Sedation Scale |
|
|
1 |
Anxious and agitated or restless, or both |
|
2 |
Cooperative, oriented, and tranquil |
|
3 |
Responding to commands only |
|
4 |
Brisk response to light glabellar tap |
|
5 |
Sluggish response to light glabellar tap |
|
6 |
No response to light glabellar tap |
|
Sedation-Agitation Scale |
|
|
7 |
Dangerous agitation. Patient pulls at endotracheal tube, thrashes, climbs over bed rails. |
|
6 |
Very agitated. Patient does not calm, requires restraints, bites endotracheal tube. |
|
5 |
Agitated. Patient attempts to sit up but calms to verbal instructions. |
|
4 |
Calm and cooperative. Patient follows commands. |
|
3 |
Sedated. Patient is difficult to arouse but follows simple commands. |
|
2 |
Very sedated. Patient arouses to stimuli but does not follow commands. |
|
1 |
Unarousable. Patient has minimal or no response to noxious stimuli. |
|
Motor Activity Assessment Scale |
|
|
6 |
Dangerously agitated, uncooperative. No external stimulus is required to elicit movement, and patient pulls at tubes or catheters, thrashes side to side or strikes at staff, tried to climb out of bed, and does not calm down when asked. |
|
5 |
Agitated. No external stimulus is required to elicit movement, and an patient attempts to sit up or moves limbs out of bed and does not consistently follow commands (e.g., lies down when asked but soon reverts to attempts to sit up and move limbs out of bed). |
|
4 |
Restless and cooperative. No external stimulus is required to elicit movement, and patient picks at sheets or tubes or uncovers self and follows commands. |
|
3 |
Calm and cooperative. No external stimulus is required to elicit movement, and patient adjusts sheets or clothes purposefully and follows commands. |
|
2 |
Responsive to touch or name. Patient opens eyes, raises eyebrows, or turns head toward stimulus or moves limbs when touched or name is loudly spoken. |
|
1 |
Responsive only to noxious stimuli. Patient opens eyes, raises eyebrows, or turns head toward stimulus or moves limbs in response to noxious stimulus (e.g., suctioning; 5 seconds of vigorous orbital, sternal, or nailbed pressure). |
|
0 |
Unresponsive. Patient does not move with noxious stimulus (e.g., suctioning, 5 seconds of vigorous orbital, sternal, or nailbed pressure). |
Table 1: Sedation Scoring Systems
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