Riker Sedation-Agitation Scale
| Score | Level | Clinical Presentation |
|---|
| 7 | Dangerous agitation | Pulling at ET tube, trying to remove catheters, climbing over bed rail, striking out at staff, thrashing side to side | | 6 | Very agitated | Does not calm despite frequent verbal reminding of limits, biting ET tube, requires physical restraints | | 5 | Agitated | Anxious or mildly agitated, attempting to sit up but calms down to verbal instructions | | 4 | Calm | Cooperative, awakens easily, follows commands | | 3 | Sedated | Difficult to arouse, awakens to verbal stimuli or gentle shaking but drifts off again. Follows simple commands | | 2 | Very sedated | Arouses to physical stimuli but does not communicate or follow commands. May move spontaneously | | 1 | Unarousable | Minimal or no response to noxious stimuli; does not communicate or follow any commands |
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