Perfusion Status Assessment

Question 1

What is the skin/HR/BP/conscious state for adequate perfusion?

Answer 1

Warm, pink, dry // 60-100bpm // >100SBP // Alert and oriented to T & P

Question 2

What is the skin/HR/BP/conscious state for borderline perfusion?

Answer 2

Cool, pale, clammy // 50-100bpm // 80-100SBP // Alert and oriented to T & P

Question 3

What is the skin/HR/BP/conscious state for inadequate perfusion?

Answer 3

Cool, pale, clammy // <50 or >100 // 60-80SBP // Alert and oriented to T & P OR altered

Question 4

What is the skin/HR/BP/conscious state for extremely poor perfusion?

Answer 4

Cool, pale, clammy // <50 or >110 // <60SBP // Altered or unconscious

Question 5

What is the skin/HR/BP/conscious state for no perfusion?

Answer 5

Cool, pale, clammy // - // unrecordable // GCS 3

Question 6

If a Pt presented with: Cool, pale, clammy // <50 or >100 // 60-80SBP // ACS?

Answer 6

inadequate perfusion

Question 7

If a Pt presented with: Cool, pale, clammy // 50-100bpm // 80-100SBP // Alert and oriented to T & P?

Answer 7

borderline perfusion

Question 8

If a Pt presented with: Cool, pale, clammy // <50 or >110 // <60SBP // Altered or unconscious

Answer 8

extremely poor perfusion

Question 9

If a Pt presented with: Warm, pink, dry // 60-100bpm // >100SBP // Alert and oriented to T & P

Answer 9

adequate perfusion

Question 10

If a Pt presented with: Cool, pale, clammy // - // unrecordable // GCS 3

Answer 10

no perfusion

Question 11

If a Pt presented with 80-100SBP, what would that be indicative of?

Answer 11

bordeline perfusion

Question 12

If a Pt presented with a HR of 48, what would this be indicative of?

Answer 12

inadequate OR extremely poor perfusion

Question 13

If a Pt presented with a HR of 153 and an SBP of 68, what would this be indicative of?

Answer 13

inadequate perfusion