Calc Function

    • Calcs that help predict probability of a diseaseDiagnosis
    • Subcategory of 'Diagnosis' designed to be very sensitiveRule Out
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    Patent Pending

    Richmond Agitation-Sedation Scale (RASS)

    Ranks agitation and possibility for sedation.
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    BEFORE USE

    See More Info Section for defintions of criteria.
    When to Use
    Pearls/Pitfalls
    Why Use
    About the Creator
    Dr. Curtis Sessler
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    Result:

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    Next Steps
    Evidence
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    Management

    • Patients with a RASS of -3 or less should have their sedation decreased or modified in order to achieve a RASS of -2 to 0.
    • Patients with a RASS of 2 to 4 are not sedated enough and should be assessed for pain, anxiety, or delirium. The underlying etiology of the agitation should be investigated and appropriately treated to achieve a RASS of -2 to 0.

    Critical Actions

    • A RASS score should be obtained on all hospitalized patients and at regular interval in all mechanically ventilated patients.
    • Unless a patient meets indication for deep sedation, a protocol for minimal sedation (RASS -2 to 0) should be used.
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