Podcast
Questions and Answers
What is the Richmond Agitation / Sedation Score for a patient who is very agitated and pulls on or removes tubes or catheters?
What is the Richmond Agitation / Sedation Score for a patient who is very agitated and pulls on or removes tubes or catheters?
- +2
- +3 (correct)
- +4
- +1
At what level of the Richmond Agitation / Sedation Score does a patient exhibit non-purposeful movement or patient/ventilation desynchrony?
At what level of the Richmond Agitation / Sedation Score does a patient exhibit non-purposeful movement or patient/ventilation desynchrony?
- +3
- +4
- +1
- +2 (correct)
What does a RASS score of 0 indicate about the patient?
What does a RASS score of 0 indicate about the patient?
- Restless
- Drowsy
- Light sedation
- Alert and Calm (correct)
In the context of sedation levels, what does a RASS score of -2 signify?
In the context of sedation levels, what does a RASS score of -2 signify?
Under what condition does the Richmond Agitation / Sedation Score reach -5?
Under what condition does the Richmond Agitation / Sedation Score reach -5?
When does a patient receive a RASS score of -3 in the context of sedation levels?
When does a patient receive a RASS score of -3 in the context of sedation levels?
What type of behavior does a patient exhibit when assigned a RASS score of +4?
What type of behavior does a patient exhibit when assigned a RASS score of +4?
What does the 'S' in the SAVE Mnemonic for De-Escalation stand for?
What does the 'S' in the SAVE Mnemonic for De-Escalation stand for?
Which condition is characterized by hyperactive delirium with severe agitation?
Which condition is characterized by hyperactive delirium with severe agitation?
What is a key component of monitoring for patients who receive physical or sedation measures?
What is a key component of monitoring for patients who receive physical or sedation measures?
Why should veinous blood samples be avoided for glucose analysis?
Why should veinous blood samples be avoided for glucose analysis?
In a patient with hyperactive delirium, what could be considered as an underlying etiology?
In a patient with hyperactive delirium, what could be considered as an underlying etiology?
What is the recommended fluid treatment for hyperthermic patients with a temperature above 104F?
What is the recommended fluid treatment for hyperthermic patients with a temperature above 104F?
Why should restrained patients never be maintained or transported in a prone position?
Why should restrained patients never be maintained or transported in a prone position?
When should blood samples for glucose analysis be obtained through a finger-stick?
When should blood samples for glucose analysis be obtained through a finger-stick?
Flashcards
RASS +3
RASS +3
Very agitated, pulls/removes tubes or catheters.
RASS +2
RASS +2
Non-purposeful movement; patient/vent desynchrony.
RASS 0
RASS 0
Alert and Calm
RASS -2
RASS -2
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RASS -5
RASS -5
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RASS -3
RASS -3
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RASS +4
RASS +4
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'S' in SAVE
'S' in SAVE
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Psychosis
Psychosis
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Monitoring for Patients
Monitoring for Patients
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Avoid veinous blood
Avoid veinous blood
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Hyperactive delirium etiology?
Hyperactive delirium etiology?
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Fluid treatment > 104F
Fluid treatment > 104F
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No prone position
No prone position
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Finger-stick glucose?
Finger-stick glucose?
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Study Notes
Richmond Agitation/Sedation Score (RASS)
- A RASS score of +4 indicates the patient exhibits combative behavior, engages in violent resistance to care, and may physically try to harm staff.
- A RASS score of -5 indicates the patient is unarousable, does not respond to verbal or physical stimuli, and may require significant sedation.
- A RASS score of -3 indicates the patient is sedated, makes movement, but does not respond to verbal commands.
- A RASS score of -2 indicates the patient is lightly sedated, responds to verbal commands, and may make purposeful movement.
- A RASS score of 0 indicates the patient is alert, calm, and relaxed, and follows commands.
Sedation and Agitation
- Hyperactive delirium with severe agitation is characterized by restlessness, agitation, and combativeness.
- Physical or sedation measures should be used with caution and careful monitoring to avoid complications.
Blood Glucose Analysis
- Blood samples for glucose analysis should be obtained through a finger-stick when the patient is receiving an insulin infusion or has a history of hypoglycemia.
- Venous blood samples should be avoided for glucose analysis due to potential inaccuracies.
De-Escalation Techniques
- The "S" in the SAVE Mnemonic for De-Escalation stands for "Stay calm".
Patient Safety
- Restrained patients should never be maintained or transported in a prone position to avoid complications, such as respiratory distress.
- Hyperthermic patients with a temperature above 104°F should receive fluid treatment to prevent dehydration.
- Patients with hyperactive delirium may have underlying etiologies, such as infection, metabolic disorders, or medication interactions, that should be investigated and addressed.
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Description
Test your knowledge of the Richmond Agitation / Sedation Score (RASS) scale with this quiz. The RASS scale is used to assess the level of agitation or sedation in patients. Learn the different levels from +4 Combative to -5 Unarousable.
