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SCORES NAME

MODIFIED MEDICATION ACCEPTANCE SCALE


1.CRY
2.FACIAL EXPRESSION
3.BODY MOVEMENT,AGITATION
4.REACTION TO INTRANASAL ADMINISTRATION

2
2
2
2

INFANT GLOBAL ACCEPTANCE SCALE

PARENTAL SEPARATION ANXIETY SCALE

MASK ACCEPTANCE SCALE

RAMSAY SEDATION SCORE

VITAL PARAMETRES
PULSE RATE

3O MINS PRIOR TO SX

1
1
1
1

0
0
0
0

6
GRAND TOTAL

10 MINS AFTER T.D

20 MINS AFTER T.D

TOTAL SCORE

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