Research Article
Implementing an Oxygen Supplementation and Monitoring Protocol on Inpatient Pediatric Bronchiolitis: An Exercise in Deimplementation
Table 2
Respiratory distress score (RDS) calculation.
| Respiratory distress score |
| 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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