Neonatology Book

http://www.fpnotebook.com/

APGAR ScoreAka: APGAR

Advertisement

  1. Background
    1. Used only for documentation, not for Resuscitation
    2. See Newborn Resuscitation
    3. Calculate score at 1 and 5 minutes
    4. Calculate score at additional 5 minute intervals
      1. Until APGAR Score exceeds 6
  2. Calculation (Maximum of 10 points)
    1. Appearance
      1. Blue: 0
      2. Acrocyanotic: 1
      3. Pink: 2
    2. Pulse
      1. Absent Pulse: 0
      2. Heart Rate under 100 beats per minute: 1
      3. Heart Rate over 100 beats per minute: 2
    3. Grimace (Reflex irritability)
      1. No response: 0
      2. Grimace: 1
      3. Vigorous cough or sneeze: 2
    4. Muscle tone
      1. Limp: 0
      2. Some flexion of extremities: 1
      3. Active motion: 2
    5. Respiratory effort
      1. Respirations Absent: 0
      2. Slow or irregular breaths: 1
      3. Good Respiratory Rate and cry: 2
  3. Interpretation
    1. One minute Apgar (term infants)
      1. Apgar <5: Lower pH and higher PaCO2
      2. Apgar >7: Suggests stable oxygenation and perfusion
    2. Five minute Apgar
      1. Reflects infants changing condition
  4. Reference
    1. Apgar (1953) Anesth Analg 32:260

Apgar Score (C0003533)

Definition (MSH)A method, developed by Dr. Virginia Apgar, to evaluate a newborn's adjustment to extrauterine life. Five items - heart rate, respiratory effort, muscle tone, reflex irritability, and color - are evaluated 60 seconds after birth and again five minutes later on a scale from 0-2, 0 being the lowest, 2 being normal. The five numbers are added for the Apgar score. A score of 0-3 represents severe distress, 4-7 indicates moderate distress, and a score of 7-10 predicts an absence of difficulty in adjusting to extrauterine life.
ConceptsOrganism Attribute (T032)
MSHD001034
EnglishApgar Score, Apgar score finding, Finding of Apgar score, Observation of Apgar score
Spanishhallazgo del score de Apgar, hallazgo relacionado con el puntaje de Apgar, puntaje de Apgar, score de Apgar
Parent ConceptsPhysical Examination (C0031809), Finding of neonate (C0578755), Duplicate concept (C1274013)
SourcesLCH, MSH, MTH, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Apgar (C0741195)

ConceptsLaboratory Procedure (T059)
EnglishApgar
SourcesLNC
Derived from the NIH UMLS (Unified Medical Language System)



Navigation Tree