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Downes Scoring System

The Downes Scoring system provides a scale for evaluating respiratory distress in infants based on symptoms like cyanosis, retractions, grunting and air entry, with higher scores indicating more severe distress. A score above 4 suggests clinical respiratory distress and monitoring blood gases, while a score over 8 implies impending respiratory failure. The document also provides normal ranges for arterial blood gas measurements like pH, PaCO2, PaO2 and O2 saturation to identify respiratory failure or pulmonary disorders.

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Raden Kusumadewi
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3K views2 pages

Downes Scoring System

The Downes Scoring system provides a scale for evaluating respiratory distress in infants based on symptoms like cyanosis, retractions, grunting and air entry, with higher scores indicating more severe distress. A score above 4 suggests clinical respiratory distress and monitoring blood gases, while a score over 8 implies impending respiratory failure. The document also provides normal ranges for arterial blood gas measurements like pH, PaCO2, PaO2 and O2 saturation to identify respiratory failure or pulmonary disorders.

Uploaded by

Raden Kusumadewi
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

Downes Scoring system

0 Cyanosis Retractions Grunting Air entry Respiratory rate None None None Clear Under 60 1 In room air Mild Audible with stethoscope Decreased or delayed 60-80 2 In 40% FIO2 Severe Audible without stethoscope Barely audible Over 80 or apnea

Score: > 4 = Clinical respiratory distress; monitor arterial blood gases > 8 = Impending respiratory failure

Arterial Blood Gases


Normal pH PaCO2 PaO2 FIO2 Base deficit O2 saturation (SaO2) 7.30-7.40 30-35 mmHg Above 60 mmHg Room air -5 to 0 mEq/L >90-92% *Pulmonary disorders <85% Respiratory Failure <7.20 >55-60 mmHg <60 mmHg in FIO2 = 0.4-0.5*

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