Alert Lethargic Obtunded Stuporous Semi-coma Coma
Responds appropriately Responds to voice, sleepy, slow Responds to touch, decreased level of activity Responds to pain. No spontaneous activity Responds inconsistently to pain Unresponsive, may be flaccid or posturing

Tachy cardia with less than (<) 3 0.2 (big) blocks
Brady cardia with more than (>) 5 0.2 (big) blocks
Normal inclusive 3-5

kg = lb / 2.2 or lb * 0.45 . Fast rule lb/2 – 10% (100 lbs /2 = 50 – (.1*50) = 45)
lb = kg * 2.2
in = cm * 0.394 cm = in * 2.54

VolumeWeight
1 tsp = 5 mL1 mg = 1000 mcg
1 tbsp = 15 mL1g = 1000 mg
1 oz = 30 mL1gr = 60 mg
1 cup = 8oz = 240 mL1kg = 2.2 lb
1 pint = 16oz = 473 mL1L of H2O = 1 kg
1 quart = 32 oz = 946 mL1oz = 28g

IV Fluid Rates in Drops per Minute
mL/hr 50 75 80 100 125 150 175 200 250
10 gtt 8 13 13 17 21 25 29 33 42
15 gtt 12 19 20 25 31 37 44 50 62
60 gtt 50 75 80 100 125 150 175 200 250

Fluid infusion Rate (4-2-1 rule)
Adults 1mL*(kg – 20kg) + 60 ml/hr
Peds 4mL/kg for first 10 kg + 2mL/kg for second 10kg + 1mL/kg for rest

Minimum urine output is 30 mL/hr

Pitting Edema Scale
0 None
+1 <2 mm
+2 2-4 mm
+3 5-8 mm
+4 >8 mm