Disability (Neurological Status) Flashcards Preview

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Flashcards in Disability (Neurological Status) Deck (11):
1

What is the standardized method for evaluating level of consciousness?

Glasgow Coma Scale (GCS)

2

What is the range of scores for GCS?

3-15

3

What does a GCS score of 3 indicate?

deep unconsciousness

4

What does a GCS score of 15 indicate?

indicates a patient who is alert, converses normally, and is able to obey commands

5

What is a limitation of GCS?

An initiated or aphasic patient is unable to respond to the verbal component of the GCS

6

When should a GCS be assessed?

on arrival and repeated according to policy

7

What does a trend analysis of a GCS indicate?

detects deteriorating or improving neurological condition

8

What interventions can you do for disability?

- evaluate need for computed tomography (CT)
- consider ABGs
- bedside glucose, alcohol, and toxicology

9

What does a CT show?

CNS injury which can contribute to LOC

10

How do ABGs contribute to LOC?

may indicate decreased cerebral perfusion, hypoventilation or acid-base imbalance

11

How does glucose, alcohol, or drugs contribute to LOC?

hypoglycemia and presence of alcohol/drugs may contribute to to LOC but need to excluded as primary cause