/clinical/,/clinical/references/,/clinical/references/adult-sedation/,/clinical/references/adult-sedation/level-of-awarenesssedation-score/,

/clinical/references/adult-sedation/level-of-awarenesssedation-score/

201410293

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UWHC,UWMF,

Patient Care,

Clinical Hub,References,Adult Moderate Sedation Topics

Level of Awareness/Sedation Score

Level of Awareness/Sedation Score - Clinical Hub, References, Adult Moderate Sedation Topics

Focus

Consider your endpoint goal of sedation; for moderate sedation a sedation goal of 3-4 is expected (see Adult Sedation Scale). Progressive sedation is a precursor of clinically significant respiratory depression. Patient sedation ratings of 5 or more with a respiratory rate of 8 or less per minute should be treated with additional airway management and/or reversal agents (see information on flumazenil and naloxone).

The Adult Sedation Scale is used to assess and document the patient's level of sedation. An assessment is completed at baseline and continued throughout the procedure, with documentation of the level of sedation every 15 minutes until return to baseline post-procedure.

Adult Sedation Scale 

1

Anxious, agitated or restless

2

Calm, cooperative to tranquil (normal patient’s baseline without sedation)

3

Quiet, drowsy, responds to forehead tap or loud verbal stimuli

4*

Asleep, brisk response to forehead tap or loud verbal stimuli

5

Asleep, sluggish response to increasingly vigorous stimuli

6

Unresponsive to painful stimuli

* Goal for moderate sedation 

Note:  This scale uses a score of "2" to indicate a normal baseline.