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medical target for MAP
> 65 mmHg
RASS +4
combative
RASS +3
very agitated
RASS +2
agitated
RASS +1
restless
RASS 0
alert and calm
RASS -1
drowsy
RASS -2
light sedation
RASS -3
moderate sedation
RASS -4
deep sedation
RASS -5
unrousable
BP normal
120/80
MAP norm
70-100 mmHg
BP relative hold
SBP ≥ 160
MAP:
consult medical team if …
<60 means …
< 65
reduced perfusion of vital organs
Pulse pressure norm
40-60 mmHg
↑ pulse pressure
arterial resistance, HF, aging
↓ pulse pressure
HF, aortic valve stenosis, blood loss
BP absolute hold
SBP ≥ 180 (hypertensive crisis)
BP hypotension
< 80/60
HR norm
60-100 bpm
HR relative hold
if resting > 100
RR norm
12-18 breaths/min
RR brady =
< 10: opioids, brain disorders
RR tachy =
> 24: metabolic disorders, COPD, acidosis
RR relative hold
≥ 45
RR absolute hold
≥ 50
SpO2 norm
> 95%
SpO2 monitor closely range
91-94%
SpO2 relative hold
< 90%; ensure pulse ox accuracy
body temp norm
95.9-99.5 deg F
35.5-37.5 deg C
body temp hold
> 100 deg F (very pt specific)