Thermoregulatory Dysfunction | |
 Temperature (°F/°C) | |
  99 to 99.9 | 37.2 to 37.7 | 5 |
  100 to 100.9 | 37.8 to 38.2 | 10 |
  101 to 101.9 | 38.3 to 38.8 | 15 |
  102 to 102.9 | 38.9 to 39.4 | 20 |
  103 to 103.9 | 39.4 to 39.9 | 25 |
   ≥ 104.0 |≥ 40.0 | 30 |
Central Nervous System Effects | |
 Agitation | 10 |
 Delirium/Psychosis/Extreme lethargy | 20 |
 Seizure/Coma | 30 |
Gastrointestinal/hepatic Dysfunction | |
 Diarrhea/nausea/vomiting/abdominal pain | 10 |
 Unexplained jaundice | 20 |
Cardiovascular Dysfunction | |
 Heart rate | |
  99 to 109 | 5 |
  110 to 119 | 10 |
  120 to 129 | 15 |
  130 to 139 | 20 |
   ≥ 140 | 25 |
 Atrial fibrillation | 10 |
 Heart failure | |
   with pedal edema | 5 |
   with bibasilar rales | 10 |
   with pulmonary edema | 15 |
History of Precipitating Factors | |
 Present | 10 |
 Absent | 0 |