ISPH-GS

OR 2

ALDRETE SCORE
BY: ARCHIE P. NATIVIDAD
BSN 3E
 This Aldrete score is a method of
clinically assessing the physical
status of the patient and whether the
anesthetic effect (regardless of WHAT IS ALDRETE
administration method) has worn off
or not. SCORE USED FOR?
 The evaluation occurs immediately The following are assessed:
after surgery and then every 1 hour  ACTIVITY LEVEL
before the patient is deemed as ready
for discharge.  RESPIRATIONS
 CIRCULATIONS
 CONSCIOUSNESS
 OXYGEN SATURATION Contoso
Pharmaceuticals

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• Prior to 1970 when Dr. J.A. Aldrete then Send to Back for overlay effect
developed the post-anesthesia recovery
score (PAR) there was no recognized tool
to determine safe discharge from the post-
anesthesia care unit (PACU).

• Dr. Aldrete saw the need for a

surveillance tool that could be used to
standardize the care of surgical
patients worldwide (MacMartin WHO INVENTED
Klobuchar, 2005). The Aldrete scoring
system, as it has come to be known, is
ALDRETE SCORE?
a measurement of recovery after
anesthesia that includes gauging a
patient’s consciousness, activity,
respiration, and blood pressure
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 Aldrete devised a scoring system for

determining when patients are fit for
discharge from the PACU. Numeric
scores of 0, 1, or 2 are assigned to
motor activity, respiration,
circulation, consciousness, and color HOW DOYOU SCORE
for a maximal score of 10.
ALDRETE?

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Pharmaceuticals

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 To receive your patient's post-

anesthesia recovery score, add all the
points from the table below that
correspond to your patient's state.

 Patients with score 9 to 10 can be

safely discharged from the PACU. How to calculate the
 Aldrete score of 8 and lower indicates
the need for continuous close Aldrete score?
observation.

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Pharmaceuticals

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ALDRETE SCORE

ACTIVITY LEVEL RESPIRATIONS CIRCULATION CONSCIOUSNESS COLOUR/SPO2

 ABLE TO MOVE 4  ABLE TO BREATH  Systemic BP ≠ 20% of  FULLY AWAKE  .NORMAL)
EXTREMITIES ON DEEPLY the preanesthetic
COMMAND level (2 points)  AROUSABLE  PALE AND
 DYSPNEA JAUNDICED
 ABLE TO 2  Systemic BP  NOT
EXTREMITIES ON  APNEA between 20% and RESPONDING  CYANOTIC
COMMAND 49% of the
preanesthetic level (1
 ABLE TO MOVE 0
EXTREMITIES ON
point) Contoso
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COMMAND  Systemic BP ≠ 50% of
the preanesthetic page 6
level (0 points)
Contoso
Pharmaceuticals