Neurological status

Question 1

What are the five (5) critical areas to a neurological assessment?

Answer 1

1) Level of consciousness
2) Pupils
3) Motor function
4) Sensory function
5) Vital signs

Question 2

What are the two assessments used to determine conscious state?

Answer 2

• AVPU

* GCS

Question 3

What do you take into account when assessing the pupils?

Answer 3

• Size
▪︎pinpoint (< 2mm)
▪︎normal (2-6mm)
▪︎ dilated (>6mm)

• Reaction
▪︎ Normal - rapid constriction in individual eyes
▪︎ Abnormal - deviation from midline, dilated, pinpoint; non-reactive on one side = possible > ICP, nerve compression or traumatic hydriasis

Question 4

What signs & symptoms are considered when assessing motor function?

Answer 4

• Muscle coordination, strength & tone
▪︎facial weakness
• Abnormal movements
▪︎seizure, tremor, decorticate/decerebrate

Question 5

What signs & symptoms are considered when assessing sensory function?

Answer 5

• Hearing
• Ability to understand verbal communication
• Superficial sensation (light touch or pain)

Question 6

What vital signs are important in a neurological assessment?

Answer 6

• Respiratory: rate, rhythm, effort
• Cardiac: BP, HR
• Temp (normothermia)