NEUROLOGICAL Scales/ Rating Systems Flashcards
_ _ _ is a neurological assessment tool used initially after injury to determine arousal and cerebral cortex function.
GLASGOW COMA SCALE
How is eye opening scored on the Glasgow coma scale?
Points are scored based on when eye opening occurs: Spontaneously= 4 points To speech = 3 points To pain = 2 points Doesn't open = 1 point
How is ‘best motor response’ scored on the Glasgow coma scale?
Points are given based on response to stimulus as follows: Obeys commands = 6 points Localizes pain = 5 points Withdraws = 4 points Abnormal flexion = 3 points Extensor response = 2 points No response = 1 point
How is verbal response scored on the Glasgow coma scale?
Points are given based on verbal response provided, as follows:
Oriented = 5 points
Confused conversation = 4 points
Inappropriate words = 3 points
Incomprehensible sounds = 2 points
No response = 1 point
What 5 things does the APGAR score assess?
APPEARENCE- skin color PULSE GRIMACE- reflex irritability ACTIVITY- muscle tone RESPIRATION
How is skin appearance scored on the APGAR?
Blue or pale = 0 points Normal, except blue hands and feet = 1 points Normal color (pink) = 2 points
How is pulse scored on the APGAR?
Absent = 0 points
Below 100 bpm = 1 points
Above 100 bpm = 2 points
How is grimace scored on the APGAR?
No response to stimulation = 0 points
Minimal response to stimulation = 1 points
Pulls away, sneezes or coughs = 2 points
How is Activity/ muscle tone scored on the APGAR?
No movement, ‘floppy’ = 0 points
Flexing the arms and legs = 1 points
Active movement = 2 points
How is respiration scored on the APGAR?
Absent = 0 points
Slow, irregular = 1 points
Vigorous cry = 2 points
A newborn is considered t one in good condition if they have what score on the APGAR?
Considered to be in good condition if the score is between 7-10
What score on the APGAR is considered to be low and is an indicator that the newborn requires immediate medical attention?
3 or below
