Modified Minnesota Detoxification Scale (mMINDS)
Calculator
When to use
Heart rate (beats/min)
< 90
90-110
> 110
Diastolic blood pressure (mmHg)
< 90
90-110
> 110
Tremor, assessed with arms extended and fingers spread
Absent or unable to assess
Slightly visible or can be felt fingertip to fingertip
Moderate: noticeably visible with arms extended
Severe: noticeable even with arms not extended
Sweating
Absent
Barely; moist palms
Beads visible
Drenching
Hallucinations
Absent or unable to assess
Mild: mostly lucid, sporadic/rare hallucinations
Moderate/intermittent: hallucinating at times (when first waking up or in between conversations/patient care) with moments of lucidity but able to be reoriented
Severe: continuous while awake
Agitation, assessed using the Richmond Agitation-Sedation Scale
Normal activity or sedated (RASS ≤ 0)
Somewhat > normal (RASS 1)
Moderately fidgety, restless (RASS 2)
Pacing, thrashing (RASS ≥ 3)
Orientation, person/place/time
Oriented ×3 or unable to assess
Oriented ×2
Oriented ×1
Disoriented
Delusions
Absent or unable to assess
Present
Seizures
Not actively seizing
Actively seizing
Calculation
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