Adult Perfusion Satus Assessment

Question 1

Pt’s Skin if adequately perfused?

Answer 1

Warm, Pink, Dry

Question 2

Pt’s Pulse if adequately perfused?

Answer 2

60-100bmp

Question 3

Pt’s BP if adequately perfused?

Answer 3

> 100 mmHg systolic

Question 4

Pt’s Consciousness if adequately perfused?

Answer 4

Alert and orientated in time and place

Question 5

Pt’s Skin if boarderline perfused?

Answer 5

Cool, pale, clammy

Question 6

Pt’s Pulse if boarderline perfused?

Answer 6

50 – 100 bpm

Question 7

Pt’s BP if boarderline perfused?

Answer 7

80 – 100 mmHg systolic

Question 8

Pt’s Consciousness if boarderline perfused?

Answer 8

Alert and orientated in time and place

Question 9

Pt’s Skin if inadequately perfused?

Answer 9

Cool, pale, clammy

Question 10

Pt’s Pulse if inadequately perfused?

Answer 10

< 50 bpm or

> 100 bpm

Question 11

Pt’s BP if inadequately perfused?

Answer 11

60 – 80 mmHg systolic

Question 12

Pt’s Consciousness if inadequately perfused?

Answer 12

Either alert or altered in their orientation to time and place

Question 13

Pt’s Skin if grossly inadequately perfused?

Answer 13

Cool, pale, clammy

Question 14

Pt’s Pulse if grossly inadequately perfused?

Answer 14

< 50 bpm or

> 120 bpm

Question 15

Pt’s BP if grossly inadequately perfused?

Answer 15

< 60 mmHg systolic

or unrecordable

Question 16

Pt’s Consciousness if grossly inadequately perfused?

Answer 16

Altered state of consciousness or unconscious

Question 17

Pt’s Skin if not perfused?

Answer 17

Cool, pale, clammy

Question 18

Pt’s Pulse if not perfused?

Answer 18

Absence of palpable pulses

Question 19

Pt’s BP if not perfused?

Answer 19

Unrecordable

Question 20

Pt’s Consciousness if not perfused?

Answer 20

Unconscious