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Pacu discharge scores

PACU Discharge Scoring Systems

Modified Aldrete ScorePostanesthesia Discharge Scoring System
Respiration
2: able to take deep breath and cough
1: dyspnea/shallow breathing
0: apnea
Vital signs
2: BP + pulse within 20% of baseline
1: BP + pulse within 20–40% of baseline
0: BP + pulse more than 40% off baseline
Oxygen saturation
2: maintains SpO2 >92% on room air
1: needs O2 inhalation to maintain O2 saturation >90%
0: O2 saturation <90% even with supplementaloxygen
Activity
2: steady gait, no dizziness or meets preoperative level
1: requires assistance
0: unable to ambulate
Consciousness
2: fully awake
1: arousable on calling
0: not responding
Nausea and vomiting
2: minimal/treated with PO medication
1: moderate/treated with parenteral medication
0: severe/continues despite treatment
Circulation
2: BP ± 20 mm Hg preoperatively
1: BP ± 20–50 mm Hg preoperatively
0: BP ± 50 mm Hg preoperatively
Pain
Controlled with oral medications and acceptable to patient
2: yes
1: no
Activity
2: able to move four extremities
1: able to move two extremities
0: unable to move extremities
Surgical bleeding
2: minimal/no dressing changes
1: moderate/up to two dressing changes
0: severe/more than three dressing changes
Score of 9 or higher for dischargeScore of 9 or higher for discharge

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