- Level Of Consciousness/Orientation? (Time is first to go!)
Glasgow Coma Scale - Answer Eye opening
Motor response
Verbal response
High = 15
, Decorticate posturing - Answer Arms flexed inward and bent in toward the body and the legs are
externally rotated and extended
- Dysfunction of the corticospinal tract
Decerebrate posturing - Answer Arms are pronated, extended, and close to the sides; legs are
extended straight out
- Dysfunction of the brain stem
Cognition Assessment - Answer - Done on admission and if there are any change sin the care settings
- Every 4-8 hours based on policy
- Speech clear?
- Orientation?
- Recognize familiar objects?
- Cooperative? Hostile? Anxious?
- Appearance?
Laboratory Tests for Neuro - Answer - Blood cultures if necessary
- Skull and spine x-rays
- Cerebral angiography
- CT scan (w/o contrast initially)
- MRI
- PET
EEG - Answer - Graphically records electrical activity of cerebral hemispheres
- Can be used if seizures are suspected
- Pt is instructed to hyperventilate (cause vasoconstriction)
- Pt will be experience photic stimulation (strobe light to induce seizure)
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