Aldrete ScoreRegister Today!
- by kastas Nov 15, '03Can anyone please tell me what an aldrete score is?
- Nov 15, '03 by balticbreezeDid you look into perioperative nursing discussions? They might have something there for you.
- Nov 15, '03 by SmilingBluEyesIt's a scoring system in several categorites to determine how patient is recovering from anesthesia:
Category 1:Activity *2 Able to move 4 extremities voluntarily/on command
1 Able to move 2 extremities voluntarily/on command
0 Able to move 0 extremities voluntarily/on command
Category 2:Respiration 2 Able to deep breathe and cough freely
**1 Dyspnea or limited breathing, mechanic airway
0 Apneic, assisted breathing (mechanical/manual)
Category 3: Circulation 2 BP + 20% of preanesthetic level, stable pulse
1 BP + 20-50% of preanesthetic level, variable pulse
0 BP + 50% of preanesthetic level, variable pulse
Category 4: Consciousness 2 Fully awake, oriented x3
1 Arousable on calling
0 Not responding, or only to pain
CATEGORY 5: Color 2 Pink or normal
1 Pale or dusky, jaundiced
* Except if surgical site restricts, may be 2 extremities.
** Any nasal, oral, endo tube, trach tube.
Best score is usually 10/10...
- Nov 15, '03 by kastasThanks all! Now I know what it is and use it regularly. I just didn't know the name of it. Thank you!
- Nov 15, '03 by NRSKarenRNThanks Smiling!
Learned something new today.
- Nov 15, '03 by AltraThank you SmilingBlueEyes - I learned something I wouldn't have otherwise been exposed to for a while!
Have a great day!
- Apr 25, '08 by almostretiredThe original Aldrete Score is no longer used in post aneshesia care units (PACUs). The last category which addresses color is not a good indicator of oxygenation.
The modified Aldrete score is now being used which addresses oxygenation:
SpO2 > 92% 2
SpO2 92% or greater
with suplemental O2 1
SpO2 < 92% with
supplemental O2 0
A score of 9 or return of pre-anesthesia status is usually required for a patient to be discharged from the PACU.
A current post anesthesia book will have an explanation of this scoring system