Observation | Criteria | Points |
---|---|---|
Blood pressure | ±10% preoperative value | 0 |
>20% preoperative value | 1 | |
> 30% preoperative value | 2 | |
Crying | Not crying | 0 |
Crying but responds to loving care | 1 | |
Crying and does not respond to loving care | 2 | |
Movement | None | 0 |
Restless | 1 | |
Thrashing around | 2 | |
Agitation | Asleep or calm | 0 |
Mild agitation | 1 | |
Hysterical | 2 | |
Verbalization of pain | Asleep or state no pain | 0 |
There is pain but can’t localize | 1 | |
Can localize pain | 2 |