Implementing an Oxygen Supplementation and Monitoring Protocol on Inpatient Pediatric Bronchiolitis: An Exercise in Deimplementation

Table 2

Respiratory distress score (RDS) calculation.

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Respiratory distress score

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Respiratory rate

 □ 0 Normal (respiratory rate (rr) up to 40 breathes/minute)

 □ 1 Elevated (RR 40–60 breaths/minute)

 □ 2 Tachypnea (RR greater than 60 breaths/minute)

Accessory muscle use

 □ 0 Normal

 □ 1 Retractions (substernal, subcostal, intercostal)

 □ 2 Neck or abdominal muscle use

Wheezing

 □ 0 None or scattered end expiratory wheezes

 □ 1 Wheezes throughout expiration

 □ 2 Entire inspiration and expiration wheezes

Oxygen requirement

 □ 0 Maintains above 90% on room air

 □ 1 Maintains above 90% on less than 1 Lpm oxygen

 □ 2 Requires 1 Lpm oxygen or more to maintain above 90%

Inspiratory to expiratory ratio

 □ 0 I : E ratio less than 1 : 2

 □ 1 I : E ratio 1 : 2 to 1 : 3

 □ 2 I : E ratio greater than 1 : 3

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