Aldrete Score

  1. Can anyone please tell me what an aldrete score is?
  2. Visit kastas profile page

    About kastas

    Joined: Dec '00; Posts: 170; Likes: 33
    Labor and Delivery since 1999
    Specialty: L&D


  3. by   balticbreeze
    Did you look into perioperative nursing discussions? They might have something there for you.
  4. by   SmilingBluEyes
    It's a scoring system in several categorites to determine how patient is recovering from anesthesia:

    Aldrete Score

    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

    0 Cyanotic

    * Except if surgical site restricts, may be 2 extremities.

    ** Any nasal, oral, endo tube, trach tube.

    Best score is usually 10/10...
  5. by   kastas
    Thanks all! Now I know what it is and use it regularly. I just didn't know the name of it. Thank you!
  6. by   NRSKarenRN
    Thanks Smiling!

    Learned something new today.
  7. by   Altra
    Thank you SmilingBlueEyes - I learned something I wouldn't have otherwise been exposed to for a while!

    Have a great day!

  8. by   almostretired
    The 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:

    Oxygen Saturation
    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