week 5 Flashcards
GCS scoring of eye opening
4 = spontaneously
3 = to voice
2 = to sound
1 = never
lowest GCS score possible
3
none in each category (eye opening, motor, and verbal)
intubate with what GCS score
less than 8 you intubate
decorticate posturing score
3 in motor response
*abnormal flexion
decerebrate posturing score
2 in motor response
*extension
GCS motor response scoring
6 = obeys commands
5 = localizes pain
4 = normal flexion / withdrawl
3 = decorticate posturing / abnormal flexion
2 = decerebrate posturing / extension
1 = none
GCS verbal response scoring
5 = oriented
4 = confused
3 = just words
2 = sounds, moaning, & groaning
1 = none
patient who is intubated will score what in the verbal response category
1 = none
asking patient to bite down assesses which cranial nerve
5 - sensation of the face
eye movement assesses which cranial nerves
3, 4, & 6
3 = pupillary constriction & eye movement side to side
swallowing and taste assesses which cranial nerve
9 and 10
*gag reflex
chewing, swallowing, diet, and aspiration involves which cranial nerves
9, 10, & 12