Levels of Consciousness

Question 1

Patient drowsy, can open eyes and look at examiner, responds to questions, but fall asleep easy

Answer 1

Lethargic

Question 2

Patient can open eyes and look at examiner, responds slowly, CONFUSED, decreased alerness

Answer 2

Obtundation

Question 3

Patient aroused from sleep only with painful stimuli. Verbal responses slow. PAtient returns to sleep with stimuli removed

Answer 3

Stupor

Question 4

State of unconsciousness where pt cannot be aroused. Eyes remain closed.

Answer 4

Coma

Question 5

Return of sleep/wake cycles
Normalization of vegetative function (breathing, HR, BP, Digestion)
Lack of cognitive responsiveness (aroused but unaware)

Answer 5

Unresponsive Vigilance (Vegetative)

Question 6

Persistent vegetative state is how long?

Answer 6

> 1 year for TBI

>3 months for ANI

Question 7

Severely altered consciousness with minimal but definite evidence of awareness

Answer 7

Minimally conscious State

Question 8

3 areas tested with GCS

Answer 8

Eye opening
Motor Response
Verbal REsponse

Question 9

Scoring of GCS

Answer 9

3-15
Severe: 1-8
Mod: 9-12

Question 10

MMSE Scoring (Max and Ranges)

Answer 10

Max: 30
Mild Impairment: 21-24
Mod: 16-20
Severe <15

Question 11

Ranchos Los Amigos Levels of Cognitive Funtion - Levels

Answer 11

I: No response
2-3: Decreased Response
4-6: Confused
7-8 Appropriate