| Temperature(°C) | Mean Blood Pressure - mbp (mmHg) | Heart Rate | Respiratory Rate |
|---|---|---|---|
|
≤29.9: 4 30-31.9: 3 32-33.9: 2 34-35.9: 1 36-38.4: 0 38.5-38.9: 1 39-40.9: 3 ≥41: 4 |
≤49: 4 50-69: 2 70-109: 0 110-129: 2 130-159: 3 ≥160: 4 |
≤39: 4 40-54: 3 55-69: 2 70-109: 0 110-139: 2 140-179: 3 ≥180: 4 |
≤5: 4 6-9: 2 10-11: 1 12-24: 0 25-34: 1 35-49: 3 ≥40: 4 |
| Creatinine | Sodium (Na) | Potassium (k) | Hematocrit (Hct) |
|
≥3.5: 4 2-3.5: 3 1.5-1.9: 2 0.6-1.4: 0 <0.6 :2 |
≥180: 4 160-179: 3 155-159: 2 150-154: 1 130-149: 0 120-129: 2 111-119: 3 ≤110: 4 |
≥7: 4 6-6.9: 3 5.5-5.9: 1 3.5-5.4: 0 3-3.4: 1 2.5-2: 2 <2.5: 4 |
<20 :4 20-29.9: 2 30-45.9: 0 46-49.9: 1 50-59.9: 2 ≥60: 4 |
| White Blood Count (wbc) | PH | Age | Glasgow Coma Scale |
|
≥40: 4 20-39: 2 15-19: 1 3-15: 0 1-2: 2 <3: 4 |
≥7.7: 4 7.6-7.69: 3 7.5-7.59: 1 7.33-7.49: 0 7.25-7.32: 2 7.15-7.24: 3 <7.15: 4 |
≥75: 6 65-74: 5 55-64: 3 45-54: 2 <45: 0 |
15 - gcs |