GCS scale Flashcards
What is the scale for eyes?
4-spontaneous
3-to voice
2-to pain
1-no response
What’s the scale for verbal in pediatrics?
5-coo's or babbles 4-irritable cry, consolable 3-cries to pain 2-moans to pain 1-no response
What’s the verbal scale for adults?
5-oriented 4-confused 3-inappropriate words 2-grunts, garbled speech 1-no response
What’s the motor scale for pediatrics?
6-normal movements 5-withdraws to touch 4-withdraws to pain 3-flexion (decorticate) 2-extension (decerebrate) 1-no response
What’s the motor scale for adults?
6-obeys commands 5-localizes pain 4-withdraws to pain 3-flexion (decorticate) 2-extension (decerebrate) 1-no response
What does APGAR stand for?
Activity Pulse Grimace Appearance Respiration
What is the scoring for Activity (muscle tone) in APGAR? (1)
Absent (0 points)
Arms and legs flexed (1 point)
Active movement (2 points)
What is the scoring for pulse on APGAR? (2)
Absent (0 points)
Under 100 bpm (1 point)
Over 100 bpm (2 points)
What is the scoring for grimace on APGAR? (3)
Flaccid (0 points)
Some flexion of extremities (1 point)
Active motion (sneeze, cough, pull away) (2 points)
What is the scoring for appearance on APGAR? (4)
Blue, pale (0 points)
Body pink, extremities blue (1 point)
Completely pink (2 point)
What is the scoring for respiration on APGAR? (5)
Absent (0 points)
Slow, irregular (1 points)
Vigorous cry (2 points)
What does a 0-3 APGAR total score indicate?
Severely depressed
What does a 4-6 total APGAR score indicate?
Moderately depressed
What does a 7-10 total APGAR score indicate?
Excellent condition
What are normal vitals at birth?
Resp. 30-60/min
HR 100-180/min
Systolic BP 60-90
