Sedation Scale of Cook and Palma

The scale of Cook and Palma was developed to assess intravenous sedation. It is based on the Glasgow Coma Scale.

Scoring: assign the points according to the best response for the stimulus

Parameter	Finding	Points
eyes open	spontaneously	4
	to speech	3
	to pain	2
	none	1
response to nursing procedures	obey commands	5
	purposeful movement	4
	non-purposeful flexion	3
	non-purposeful extension	2
	none	1
cough	spontaneously strong	4
	spontaneously weak	3
	on suction only	2
	none	1
respiration	obey commands (extubated)	5
	spontaneous intubated	4
	SIMV/triggering (triggered respiration)	3
	respiration against ventilator	2
	no respiratory efforts	1

sedation score =

= (points for eyes open) + (points for response to nursing procedure) + (points for cough) + (points for respiration)

Interpretation:

• minimum score 4

• maximum score 18

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