Flashcards in Disability (Neurological Status) Deck (11):
What is the standardized method for evaluating level of consciousness?
Glasgow Coma Scale (GCS)
What is the range of scores for GCS?
What does a GCS score of 3 indicate?
What does a GCS score of 15 indicate?
indicates a patient who is alert, converses normally, and is able to obey commands
What is a limitation of GCS?
An initiated or aphasic patient is unable to respond to the verbal component of the GCS
When should a GCS be assessed?
on arrival and repeated according to policy
What does a trend analysis of a GCS indicate?
detects deteriorating or improving neurological condition
What interventions can you do for disability?
- evaluate need for computed tomography (CT)
- consider ABGs
- bedside glucose, alcohol, and toxicology
What does a CT show?
CNS injury which can contribute to LOC
How do ABGs contribute to LOC?
may indicate decreased cerebral perfusion, hypoventilation or acid-base imbalance