Pediatric Respiratory Distress Guidelines

Pediatric Respiratory Distress Guidelines: (Ages 0 – 15) Mild Distress Moderate Distress LOC Alert Agitated Color Pink Mucosa Pale/mottled SpO2 >95% 90-94% Air Entry Effortless Mod. Decreased Dyspnea On exertion At rest PF 80% predicted 50-80% predicted BS End exp. Wheezes Insp/ Exp. Wheezes Grunting None Moderate Flaring Minimal Moderate Retractions Mild-intercostal Sub or suprasternal WOB Full sentences, SOB talking, prefers SOB walking? sitting upright, agitated

Severe Distress Lethargic Cyanotic <90% Marked decreased Somnolence <50% predicted Absent/ diminished Severe Severe Paradoxical Single words, SOB @ rest