Gtts/min Ugtts/mi N Cc/1° Cc/2° Cc/6°: .100cc Glasgow Coma Scale (GCS)

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100cc # of hrs gtts/min ugtts/mi n 166 142 125 100 83 71 63 50 41 500cc 4 6 7 AGE 8 0-1 10 2-3 12 4-6 16 7-12 24 13 above 6 8 10 12 16 24 10 8 6 5 4 3 31 21 125 83 125 83 250 166 142 126 100 84 62 42 750 498 426 RR 378 30-45 300 20-30 252 20-25 186 18-24 126 12-20 84 62 50 442 32 20 252 186 150 126 96 60 Green Orange Total Best Motor Response Dark Blue Pink cc/1 cc/2 cc/6 Eyes Open

GLASGOW COMA SCALE (GCS) Spontaneously Speech (infant: to noise/voice) Pain Unresponsive Oriented (infant: coos/babbles/smiles) Best Verbal Response Confused (infant: irritable) Inappropriate (infant: cries to pain) Incomprehensible(infant:grunts/moans/agitated) Unresponsive Obeys command (infant: moves spontaneous) Localized pain (infant: withdraws from touch) IV s Withdraws from pain Plain Lactated Abnormal Flexion Ringers Dextrose Lactated Abnormal Extension Ringers (D5LR) Plain Sodium Unresponsive Chloride (PNSS) Dextrose Normosol ___ (D5NM) OB 4 3 2 1 5 4 3 2 1 6 5 4 3 2 1

6 7 8 10 12 14 16 20 24

42 86 31 25 21 18 16 13 10

166 142 125 100 83 71 63 50 41

332 284 250 200 166 142 126 100 82

996 852 750 600 498 426 378 300 246

Normal V/S (90/60-110/90) 18 71 71 16 13 10 8 5 BP 80/50 90/65 100/60 100/70 115/80 63 50 42 31 21 250cc 42 31 25 21 16 10 PH/HR 63 120-160 50 90-150 42 80-120 31 60-110 21 60-100 42 31 25 21 16 10

Red NOTE: A GCS Dextrose Water (D10W) score should be broken down into its relative components. (e.g., a GCS of 11 could be stated as E3V3M5). A GCS Yellow NaCl Dextrose (D5 9) of 13-14 indicates mild brain injury; .9-12, moderate brain injury; 3-8, severe brain injury. Sky Blue (D5 . 3) -- PEDIA AVPU Scale Lavender (D5INB) ALERT Pt is alert and requires no stimulation White Irrigating?? VERBAL Pt responds only to verbal stimulation PAINFUL UNRESPONSIVE BLUE Code 33 RED Code 07 Code 09 Code 45 Pt responds only to painful stimulation CODES Pt is unresponsive to any stimulation Cardiac Arrest Fire Elevator Trap Ambulance Conduction

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