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Sedation-Agitation Score
Signs/Symptoms
Cannot be awakened. No or minimal response to noxious stimuli
Very sedated. Responds to stimuli but cannot follow commands
Sedated. Difficult to arouse but can follow simple commands
Calm and cooperative. Follows commands
Agitated. Attempts to sit up but calms down with verbal instructions
Very agitated. Cannot be calmed, requires restraints, bites endotracheal tube
Dangerously agitated. Pulls on endotracheal tube, attacks staff, climbs over bed rails
Score:
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