| Parameter |
Score |
| Manner of poisoning |
|
| Therapeutic error |
3 |
| Addiction |
2 |
| Suicidal |
1 |
| Blood pressure |
|
| Normal (110-135/65-85 mmHg) |
3 |
| Hypertension (>140/90 mmHg) |
2 |
| Hypotension (BP <90/60mmHg) |
1 |
| Respiratory rate |
2 |
| Normal (12-24breath/min) |
|
| Bradypnea (< 12breath/min) or Tachypnea >24breath/min) |
1 |
| Cyanosis |
|
| Absent |
2 |
| Present |
1 |
| CNS manifestations |
|
| a)Seizure |
|
| Absent |
2 |
| Present |
1 |
| b)Coma |
2 |
| Absent |
|
| Present |
1 |
| Cardiovascular complications |
|
| a)Shock |
|
| Absent |
2 |
| Present |
1 |
| b)Cardiac arrest |
|
| Absent |
2 |
| Present |
1 |
| Pulmonary complications |
|
| a)Respiratory failure |
|
| Absent |
2 |
| Present |
1 |
| b) Pulmonary edema |
|
| Absent |
2 |
| Present |
1 |
| Ischemic changes |
|
| Absent |
2 |
| Present(elevated or depressed ST segment, flat or inverted T wave, deep Q) |
1 |
| pH |
|
| 7.35-7.45 |
3 |
| 7.23-7.34 |
2 |
| <7.23 |
1 |
| HCO3¯ |
|
| 22-24mmol/l |
3 |
| 15-21.9mmol/l |
2 |
| <15mmol/l |
1 |
| Serum K |
|
| 3.5-5meq/l |
2 |
| <3.5 meq/l or >5 meq/ l |
1 |
| Serum createnine |
|
| 0.6-1.4mg/dl |
2 |
| >1.4 mg/dl |
1 |
| Alanine Aminotransferase (ALT) |
|
| 5-56U/L |
2 |
| >56U/L |
1 |
| White blood cell count |
|
| 4,500 - 10,000mm3 |
2 |
| >10000 mm3 |
1 |
| Creatine kinase MB (CK-MB) |
|
| Up to 24 U/L |
2 |
| >24 U/L |
1 |
| Total Maximum |
40 |
| Minimum |
18 |