{"text":"Rate \nSeda Score (0-3) \nin 10 \n2 \nAdditonal information that \nmay effect vital signs \nTe ture \nHeart Rate \nBlood Pressure \nRate \nUrine \nCentral Nervous \u00a7 \nTOTAL \nSCORE \nTemperature \nHeart Rate \nSystolic BP \nRespiratory Rate \nUrine Qutput \nCNS Response \nNuffield Health Day and Overnight Stay Care Record \n2 1 \n< 35.0 35.1-36 \n<40 \" 41-50 \n71 - 80 -81 - 100 \n<8 \n<0.25 mls .5 mls \nAgitation \/ \nConfusion \n-6- \n36.1-38 |38.1-38.5 \n51-100 | 101 - 110 \n101-179 | 180 - 199, \n9-14 15-20 \nAlert \n2 \n<38.6 \n111-130 \n<200 \n'21-29 \nPain \n<130 \n<30 \nUnresponsive \nv2 January 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