Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
11 Cards in this Set
- Front
- Back
|
What You Know From the Doorway
|
•ABCD: General physical status
•Neurological Status: •Level of consciousness •Mental & emotional status •Neurological assessment as part of basic physical assessment. |
|
|
Nursing Hx
|
•Medications/substances
•Urine/lungs/lytes) •Disease process •New or Chronic •Head injury and/or seizure •Cardiac/HTN/TIA/CVA •Psychiatric •Focused & thorough neurological assessment |
|
|
Mental Status
|
•Mini-mental status•Glasgow Coma Scale•Follow simple directions?
•Attention span? •Irritability? •Alert and oriented x4 (person/place/time/situation) •Pupils: Equal? Round? Reactive to light? Size in millimeters? |
|
|
LOC
|
Level of Consciousness
|
|
|
Orientation
|
O x 4
oriented to time, place, person, situation |
|
|
Somnolent
|
1. sleepy; drowsy.
2. tending to cause sleep. |
|
|
Lethargic
|
1. of, pertaining to, or affected with lethargy; drowsy; sluggish.
2. producing lethargy. |
|
|
Stuporous
|
stunned or confused and slow to react (as from blows or drunkenness or exhaustion)
|
|
|
Obtunded
|
To make less intense; dull or deaden.
|
|
|
Comatose
|
1. affected with or characterized by coma.
2. lacking alertness or energy; torpid: comatose from lack of sleep. |
|
|
Glasgow Coma Scale Measures
|
(GCS): 3 to 15.
Sum of: Eye Opening (1-4) Speech (1-5) Motor (1-6) |
