Are you evaluating a neonate who is more than 72 hours old?

Systolic blood pressure

mm Hg

Body temperature

Is the body temperature unstable?

Does the patient have apnea with bradycardia, tachypnea, cyanosis or other respiratory dysfunction?

Percent bands in the peripheral blood differential count (enter from 0 to 100)

Platelet count

Duration of umbilical venous catheter placement (enter 0 if not used)



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