Neuro Assessment: Glascow Coma Scale (For Practicum) Flashcards
1
Q
The neuro assessment consists of what four things?
A
- LOC
- Cranial nerve III, IV and VI assessment
- Glasgow Coma Scale
- Babinsk Test
2
Q
How do you check for LOC?
A
- “Whats your name” (person)
- “Do you know where you are?” (place)
- “Can you tell me what date it is?” (time)
- “Who’s President right now?” (event)
- Scored as “A&Ox…” (however many they get right)
3
Q
What are the names of cranial nerves III, IV and VI?
Describe each.
A
- III = oculomotor
- Outer diagonal: upper and lower
- Inner diagonal: upper only
- Inner lateral movement (cross-eyed)
- IV = trochlear
- Inner diagonal: downward only
- VI = Abducens
- Outer lateral only
4
Q
Describe movement for CNIII
A
- Outer diagonal: upper and lower
- Inner diagonal: upper only
- Inner lateral movement (cross-eyed)
5
Q
Describe movement for CNIV
A
Inner diagonal: downward only
6
Q
Describe movement for CNVI
A
Outer lateral movement only
7
Q
What does PERRLA stand for?
A
- Pupils
- Equal
- Round
- Reactive
- Light
- Accommodation (pupils behaving as they should)
8
Q
What are some causes of pinpoint pupils?
A
- Opiods/narcotics
- HTN meds (clonidine, tetrahydrozoline)
- Heroin
- Head injury
9
Q
What are some causes of fixed and dialated pupils?
A
- Brain injury
- Stroke
10
Q
What is the Glagow Coma Scale used for?
A
- To objectively describe the extent of impaired consciousness in all types of acute medical and trauma patients
11
Q
The Glasgow Coma Scale is assessing what 3 responses and what is the score range?
A
- Eye
- Verbal
- Sensorimotor
- 3-15
12
Q
How many points is each part of the Glasgow Coma Test worth?
A
- Eye = 4pts
- Verbal = 5pts
- Sensorimotor = 6pts
- Total = 15
13
Q
How is the eye response scored?
A
- Spontaneous–open with blinking at baseline 4 points
- To verbal stimuli, command, speech 3 points
- To pain only (not applied to face) 2 points
- No response 1 point
14
Q
How is the verbal response scored?
A
- Oriented 5 points
- Confused conversation, but able to answer questions 4 points
- Inappropriate words 3 points
- Incomprehensible speech 2 points
- No response 1 point
15
Q
How is the sensorimotor response scored?
A
- Obeys commands for movement 6 points
- Purposeful movement to painful stimulus 5 points
- Withdraws in response to pain 4 points
- Flexion in response to pain (decorticate posturing) 3 points
- Extension response in response to pain (decerebrate posturing) 2 points
- No response 1 point
