Glasgow Coma Scale Flashcards

1
Q

What 3 category’s is the Glasgow coma scale divided into?

A

Eyes opening
Motor response
Verbal response

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2
Q

What is the category ‘eyes opening’ scored out of in the Glasgow coma scale?

A

4

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3
Q

What is the category ‘motor response’ scored out of in the Glasgow coma scale?

A

6

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4
Q

What is the category ‘motor response’ scored out of in the Glasgow coma scale?

A

5

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5
Q

Name the 4 elements of ‘eyes opening’ in the Glasgow coma scale?

A

4 - Spontaneously
3 - To speech
2 - To pain
1 - None

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6
Q

Name the 6 elements of ‘motor response’ in the Glasgow coma scale?

A
6 - Obeys commands
5 - Localises pain
4 - Withdraws from pain
3 - Abnormal flexion
2 - Extensor response
1 - No response to pain
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7
Q

Name the 5 elements of ‘verbal response’ in the Glasgow coma scale?

A
5 - Orientated
4 - Confused
3 - Inappropriate words
2 - Incomprehensible sounds
1 - No verbal response
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8
Q

A patient scores a 4 in the ‘eyes opening’ section of the Glasgow come scale, what does this indicate?

A

The patient is able to open their eyes spontaneously

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9
Q

A patient scores a 3 in the ‘eyes opening’ section of the Glasgow come scale, what does this indicate?

A

The patient opens their eyes to speech/noise

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10
Q

A patient scores a 2 in the ‘eyes opening’ section of the Glasgow come scale, what does this indicate?

A

The patient opens their eyes in response to pain

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11
Q

A patient scores a 1 in the ‘eyes opening’ section of the Glasgow come scale, what does this indicate?

A

The patient does not open their eyes

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12
Q

A patient scores a 6 in the ‘motor response’ section of the Glasgow coma scale, what does this indicate?

A

Obeying command: the patient does simple things you ask (beware of accepting a grasp reflex in this category)

Infant: moves spontaneously or purposefully

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13
Q

A patient scores a 5 in the ‘motor response’ section of the Glasgow coma scale, what does this indicate?

A

Localising response to pain: purposeful movements towards changing painful stimuli is a ‘localising’ response

Infant: withdraws from touch

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14
Q

A patient scores a 4 in the ‘motor response’ section of the Glasgow coma scale, what does this indicate?

A

Withdraws to pain: pulls limb away from painful stimulus

Infant: withdraws from pain

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15
Q

A patient scores a 3 in the ‘motor response’ section of the Glasgow coma scale, what does this indicate?

A

Abnormal flexor response to pain: stimulus causes abnormal flexion of limbs

(adduction of arm, internal rotation of shoulder, pronation of forearm, wrist flexion - decorticate posture

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16
Q

A patient scores a 2 in the ‘motor response’ section of the Glasgow coma scale, what does this indicate?

A

Extensor posturing to pain: the stimulus causes limb extension

(abduction, internal rotation of shoulder, pronation of forearm, wrist extension) - decerebrate posture

17
Q

A patient scores a 1 in the ‘motor response’ section of the Glasgow coma scale, what does this indicate?

A

The patient has no response to pain

18
Q

A patient scores a 5 in the ‘verbal response’ section of the Glasgow coma scale, what does this indicate?

A

Orientated: the patient knows who he/she is, where he/she is and why, the year, season, and month

Infant: smiles, orientated to sounds, follows objects, interacts

19
Q

A patient scores a 4 in the ‘verbal response’ section of the Glasgow coma scale, what does this indicate?

A

Confused conversation: the patient responds to questions in a conversational manner but some disorientation and confusion

Infant: cries but consolable, inappropriate interactions

20
Q

A patient scores a 3 in the ‘verbal response’ section of the Glasgow coma scale, what does this indicate?

A

Inappropriate speech: random or exclamatory articulated speech but no conversational exchange

Infant: inconsistently inconsolable, moaning

21
Q

A patient scores a 2 in the ‘verbal response’ section of the Glasgow coma scale, what does this indicate?

A

Incomprehensible speech: moaning but no words

Infant: inconsolable, agitated

22
Q

A patient scores a 1 in the ‘verbal response’ section of the Glasgow coma scale, what does this indicate?

A

The patient gives no verbal response