Kliniske værktøjer

4AT
ABCDE
Alvarado/AIR
Body Mass Index (BMI)
Braden-skalaen
CHADS2Vasc
Confusion assessment method (CAM)
CRB-65
Dermatomer
ESAS
Glasgow Coma Scale (GCS)
ISBAR
MADRS
NEWS2
NIHSS
NORRISK2
NRS-2002
NYHA
OPQRST
PEWS
qSOFA
SAMPLER
Stratify
Svangerskaps­termin
Vitalia børn
Vitalia voksen
Wells score
Wells skår (LE)

NEWS2

National Early Warning Score til vurdering af akut sygdom.

3
2
1
0
1
2
3
RF
≤ 8
9–11
12–20
21–24
≥ 25
SpO₂ (normal)
≤ 91
92-93
94-95
≥ 96
SpO₂ (resp.svigt)
≤ 83
84-85
86-87
88-92 ≥ 93 (luft)
93-94 (oxygen)
95-96 (oxygen)
≥ 97 (oxygen)
Luft
Ilt
Atmosfærisk luft
Systolisk blodtryk
≤ 90
91-100
101-110
111-219
≥ 220
Puls
≤ 40
41-50
51-90
91-110
111-130
≥ 131
Bevidsthed
A
C,V,P,U
Temperatur
≤ 35,0
35,1-36,0
36,1-38,0
38,1-39,0
≥ 39,1