Down South Gaming - QAS

Respiratory Assessment

Appearance

Normal: Calm, quiet

Mild: Calm or anxious

Moderate: Distressed, anxious

Severe: Exhausted, fighting to breathe

Speech

Normal: Clear, steady

Mild: Full sentences

Moderate: Short sentences

Severe: Words or none

Sounds

Normal: Quiet

Mild: Cough, mild wheeze or basal crackles

Moderate: Cough, inhale/exhale wheeze or mid-zone crackles

Severe: No cough, inhale/exhale wheezes, full field crackles, no breath sounds

Resp Rate

Normal: 12-16

Mild: 16-20

Moderate: >20

Severe > 20 or less than < 8

Rhythm

Normal: Regular

Mild: Prolonged exhale phase

Moderate: Prolonged exhale phase

Severe: Prolonged exhale phase

Work of Breathing

Normal: Normal

Mild: Slight

Moderate: Marked

Severe: Marked

Pulse

Normal: 60-100

Mild: 60-100

Moderate: 100-120

Severe: > 120 or < 60

Skin

Normal: Normal

Mild: Normal

Moderate: Pale, sweaty

Severe: Pale, sweaty, +/- cyanosis

Conscious state

Normal: Alert

Mild: Alert

Moderate: Alert or altered

Severe: Altered / unconscious

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