TBI - 2 Flashcards by Victoria Caridi

Q

Glasgow coma scale measures

A

level of coma

how badly brain is injured

level of awareness

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Q

what does the glasgow coma scale examine

A

eye opening

best motor response

best verbal response

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Q

how does the glasgow coma scale score

A

ranges from 3-15

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Q

9 or more –> glasgow coma scale

A

no longer in coma

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Q

1-7 –> glasgow coma scale

A

severe injury

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Q

7-10 –> glasgow coma scale

A

moderate injury

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Q

10+ –> glasgow coma scale

A

minimal or mild injury

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Q

eye opening –> glasgow coma scale

A

scored 1-4

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Q

eye opening scores –> glasgow coma scale

A

4: spontaneous

3: to speech

2: to pain

1: Nil

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Q

best motor response –> glasgow coma scale

A

scored 1-6

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Q

best motor response score –> glasgow coma scale

A

6: obeys

5: localizes

4: w/drawals

3: abnormal flexion

2: abnormal extension

1: Nil

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Q

verbal response –> glasgow coma scale

A

scored 1-5

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Q

verbal response scores –> glasgow coma scale

A

5: oriented

4: confused conversation

3: inappropriate words

2: incomprehensible sounds (groans)

1: Nil

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Q

concussion is usually paired w/

A

loss of consciousness

brief and usually w/ permanent deficits

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Q

hallmarks of concussion

A

confusion and amnesia

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Q

definition of concussion

A

traumatically induced altercation in mental status

Q

when will the symptoms disappear –> concussion

A

w/in days or weeks

Q

what can someone develop –> concussion

A

persistent problems for months to years

Q

repeated concussions

A

produce cumulative neurophysiological deficits and cerebral atrophy

Q

symptoms of concussion (1)

A

increased sleepiness/confusion

headache, vomiting, stumbling

weakness in the limbs

unintelligible speech

personality changes

Q

symptoms of concussion (2)

A

seizures and dizziness

decreased attention, concentration and memory

low frustration level and tolerance, irritability

anxiousness/depression

blurred vision and ringing int he ears

Q

what is a coma

A

state of unconsciousness lasting longer than 1 hr

Q

length of a coma

A

usually 2-4 weeks

Q

persistent vegetative state

A

1 yr+ coma

Q

persistent vegetative state has no

A

response to stimuli

facial expressions

UE or LE movement

Q

what does a vegetative state respond to

A

environment in some way

Q

what can someone in a vegetative state do on their own,

A

open eyes (return of sleep/wake cycle)

regulate HR/RR on own

Q

vegetative state doesnt have

A

cognitive fxning

Q

akinetic mutism –> coma

A

silent but alert and immobile

no awareness

Q

locked in syndrome –> coma

A

can use vertical eye movement, blink

appears more aware

no volitional movement

Q

minimally conscious state –> coma

A

not in a coma

responses to environment are inconsistent