Pulm Index Score

Question 1

Pulmonary index score

Answer 1

Pulmonary Index Score (PIS)
Score
👁Respiratory rate*Wheezing👂Inspiratory/expiratory 👂ratio Accessory 👁💪muscle use Oxygen saturation📟
0 ≤30 RR Wheeze:None insp/ exp : 2:1 None: accessory muscle use oxy spo299 to 100
1 RR:31 to 45 wheeze:End expiration insp exp :1:1 access muscle use: + soo2:96 to 98
2 RR 46 to 60 (50% increase) wheeze: Entire expiration insp/ exp: 1:2 ++ 93 to 95
3 >60 Inspiration and expiration 1:3 +++ <93
* For patients ≥age 6: through 20, score 0; 21 to 35, score 1; 36 to 50, score 2; >50, score 3. The total score ranges from 0 to 15. In general, a score of less than 7 indicates a mild attack, a score of 7 to 11 indicates a moderately-severe attack, and a score of 12 or greater indicates a severe attack. However, the PIS may underestimate the degree of illness in an older child.
¶ If no wheezing due to minimal air entry, score 3.
Courtesy of Richard Scarfone, MD, FAAP.
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