Neurological Assessment Flashcards
1
Q
Glasgow Coma Scale
A
- Eye opening, verbal response, motor response
- enter room, state patient name (use loud voice if no response), touch shoulder, noxious stimulation (pain- apply pressure to nailbed)
2
Q
5 Levels of Consciousness
A
- Alert
- Confusion
- Drowsy
- Stupor
- Comatose
3
Q
Alert
A
Awake and alert
4
Q
Confusion
A
Not oriented or unable to answer questions
5
Q
Drowsy
A
Not easily aroused
6
Q
Stupor
A
Not aroused or engaged but responds to stimuli
7
Q
Comatose
A
Does not respond to any stimuli
8
Q
6 Indicators of Consciousness
A
- orientation
- mood and behaviour
- general knowledge
- short term and long term memory
- attention span
- ability to concentrate
9
Q
I - Olfactory
A
-smell
Test: bilaterally
10
Q
II. Optic
A
Sight
Test: visual acuity and visual field
11
Q
III. Oculomotor
A
Test: Pupillary assessment (PERRLA)
-up, down, medial, up and in
12
Q
IV. Trochlear
A
Eyes - down and inward
13
Q
V. Trigeminal
A
Cornea, cheek, nose, lips
Mastication
Test: sharp and dull sensation, mastication
14
Q
VI. Abducens
A
Lateral eye movement
15
Q
VII. Facial
A
Tastes and facial expressions
Test: evaluate taste and facial movement
