CNS Flashcards

1
Q

GCS categories

A

Eye opening
Verbal response
Motor response

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2
Q

GCS Eye Opening

A

4 Spontaneous
3 To speech
2 To pain
1 None

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3
Q

GCS Verbal Response

A
5 Oriented
4 Confused
3 Inappropriate
2 Incomprehensible
1 None
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4
Q

GCS Motor Response

A
6 Obeying commands
5 Localizing to pain
4 Withdrawal to pain
3 Decorticate (flexion)
2 Decerebrate (extension)
1 None
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5
Q

Highest GCS when intubated

A

11T (E4V1TM6)

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6
Q

RASS +4

A

Combative
Violent
Danger to staff

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7
Q

RASS +3

A

Very agitated
Pulls to remove tubes
Aggressive

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8
Q

RASS +2

A

Agitated
Frequent nonpurposeful movements
Fights ventilator

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9
Q

RASS +1

A

Restless
Anxious, apprehensive
Movements not aggressive

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10
Q

RASS 0

A

Alert & Calm

Spontaneously pays attention to caregiver

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11
Q

RASS -1

A

Drowsy

Sustained awakening to voice (>10sec)

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12
Q

RASS -2

A

Light sedation

Briefly awakens to voice (<10sec)

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13
Q

RASS -3

A

Moderate sedation

Movement or eye opening to voice (no eye contact)

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14
Q

RASS -4

A

Deep sedation

No response to voice but movement or eye opening to pain

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15
Q

RASS -5

A

Unarousable

No response to voice or pain

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16
Q

Precdex Dose

A

0.1-1.5 mcg/kg/hr