NIH Stroke Scale
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NIH Stroke Scale Group A (Apex Inn... NIH Stroke Scale Group A Patient 1-... NIH Stroke Scale EBP NU
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tyvnguyen Preview narrative_nessa Preview NURSTU2015 Preview Coa
Practice questions for this set
Learn 1 /7 Study with Learn
2
Choose an answer
Eyes: Visual fields
1 2 Score for large strokes
- complete hemianopia
LOC: Arousal
3 4 Components of Face
- drowsy
Don't know?
Score for large strokes > 10
(however, if it is a brainstem stroke it can have a low score and still be a large
stroke)
Lowest score Lowest score is 0
Highest score Highest score is 42
, Components of Eyes Gaze
- voluntary gaze direction (non-comatose)
- vestibule-ocular reflex (comatose)
Visual fields
- confrontation, all 4 quadrants (non-comatose)
- threat (comatose)
Components of LOC Arousal
Questions
- name
- month
Commands
- open eyes
- grip/release
Components of Face Facial droop
- smile & eyebrow raise (normal LOC / drowsy)
- grimace w/ pain (obtunded)
Components of Motor Strength Arm strength
- raise arms 45° (supine)
- raise arms 90° (sitting)
Leg strength
- raise legs 30° (always test supine)
Components of Limb Ataxia Finger→nose & Heel→shin
Components of Sensory Pinprick
- all 4 limbs; up to elbow
Components of Language Aphasia
- describe picture; name objects (w/ adequate vision)
- describe large objects in room or ask questions (w/ inadequate vision)
Components of Dysarthria Character of speech
- read sentences / words (w/ adequate vision)
- repeat "methodist episcopal" (w/ inadequate vision)
- listen for slurred, garbled, incoherent
Components of Extinction/Inattention Vision extinction:
- look at wiggling hand
Sensory test
- upper & lower extensors
Save
Students also studied
NIH Stroke Scale Group A (Apex Inn... NIH Stroke Scale Group A Patient 1-... NIH Stroke Scale EBP NU
6 terms 6 terms Teacher 22 terms Teacher
tyvnguyen Preview narrative_nessa Preview NURSTU2015 Preview Coa
Practice questions for this set
Learn 1 /7 Study with Learn
2
Choose an answer
Eyes: Visual fields
1 2 Score for large strokes
- complete hemianopia
LOC: Arousal
3 4 Components of Face
- drowsy
Don't know?
Score for large strokes > 10
(however, if it is a brainstem stroke it can have a low score and still be a large
stroke)
Lowest score Lowest score is 0
Highest score Highest score is 42
, Components of Eyes Gaze
- voluntary gaze direction (non-comatose)
- vestibule-ocular reflex (comatose)
Visual fields
- confrontation, all 4 quadrants (non-comatose)
- threat (comatose)
Components of LOC Arousal
Questions
- name
- month
Commands
- open eyes
- grip/release
Components of Face Facial droop
- smile & eyebrow raise (normal LOC / drowsy)
- grimace w/ pain (obtunded)
Components of Motor Strength Arm strength
- raise arms 45° (supine)
- raise arms 90° (sitting)
Leg strength
- raise legs 30° (always test supine)
Components of Limb Ataxia Finger→nose & Heel→shin
Components of Sensory Pinprick
- all 4 limbs; up to elbow
Components of Language Aphasia
- describe picture; name objects (w/ adequate vision)
- describe large objects in room or ask questions (w/ inadequate vision)
Components of Dysarthria Character of speech
- read sentences / words (w/ adequate vision)
- repeat "methodist episcopal" (w/ inadequate vision)
- listen for slurred, garbled, incoherent
Components of Extinction/Inattention Vision extinction:
- look at wiggling hand
Sensory test
- upper & lower extensors
