Kliniske verktøy

4ATABCDEAppendisitt­risiko (Alvarado/AIR)Braden-skalaenCHADSCHADS2VascConfusion assessment method (CAM)DermatomerESASGlasgow Coma ScaleGOLDISBARKroppsmasseindeks (KMI)MADRSNEWS2NIHSSNORRISK2NRS-2002NYHAOPQRSTPEWSqSOFASAMPLERStratifySvangerskapsterminVitalia for barnWells' scoreWells' score (LE)

NEWS2

National Early Warning Score for vurdering av akutt sykdom.

3
2
1
0
1
2
3
RF
≤ 8
9–11
12–20
21–24
≥ 25
SpO₂ (normal)
≤ 91
92-93
94-95
≥ 96
SpO₂ (resp.svikt)
≤ 83
84-85
86-87
88-92 ≥ 93 (luft)
93-94 (oksygen)
95-96 (oksygen)
≥ 97 (oksygen)
Romluft / oksygen
Oksygen
Romluft
Systolisk blodtrykk
≤ 90
91-100
101-110
111-219
≥ 220
Puls
≤ 40
41-50
51-90
91-110
111-130
≥ 131
Bevissthet
A
C,V,P,U
Temperatur
≤ 35,0
35,1-36,0
36,1-38,0
38,1-39,0
≥ 39,1