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 |