NIH Stroke Scale / NHISS Study guides, Class notes & Summaries

NIH Stroke Scale Training and Certification rate what they actually do - correct answer tips for scoring - correct answer use patient's first response - ataxia - correct answer lack of muscle coordination, reflects the affected coordination of one who has experienced a stroke Significance of NIH stroke scale - correct answer necessary prognostic tool for discerning deficits within different parts of body. provides in common language to understand nature of stroke and severity...

NIHSS Group C - Patients 1-6 for me Patient 1 - correct answer 1a. 0 - alert. 1b. 2 - neither correct. 1c. 1 - preforms one task correctly. 2. 0 - normal. 3. 2 - severe. 4. 1- minor paralysis. 5a. 0 - no drift. 5b. 4 - no movement. 6a. 0 - no drift. 6b. 4 - no movement. 7. 1 - present in one limb. 8. 2 - severe or total sensory loss. 9. 2 - severe aphasia. 10. 1 - mild to moderate dysarthria. 11. 1 - complete neglect. Patient 2 - correct answer 1a. 0 - alert. 1b. 0 - answers...

NIHSS Practice Quiz (What questions to ask)Components of NIHSS - correct answer Wakefulness (Q1ABC) Vision (Q3) Motor (Q2,4567) Sensory (Q8,11) Language and Speech (9,10) Q1ABC - Wakefulness - correct answer 1a-are they immediately awake or otherwise engage them. (responsiveness) 1b-correctly state age and current month (questions) 1c-open/close eyes AND squeeze hand (commands) Q2-Motor - correct answer "Keep your head straight and keep your eyes on my finger?" Horizontal eye m...

NIH Stroke Scale: acute careWhat does the NIH stroke scale measure? - correct answer neurological dysfunction and helps determine level of stroke severity in acute stroke What is it's purpose? - correct answer Method of identifying persons likely to have poor outcomes during first week after stroke best predictor in first 3 hrs of stroke was NIHSS score > 17 + atrial fibrillation will lead to what poor outcome? - correct answer death within 3 months post CVA How many items are th...

NIHSS Certification Exam ReviewWhat does NIHSS stand for? - correct answer National Institute of Health Stroke Scale What are 6 important conventions to remember when scoring a NIHSS? - correct answer Administer scale items in EXACT order Avoid coaching the patient Accept the patient's first effort Score only what the patient does Be consistent Include all deficits in scoring When administering an NIHSS what is important to remember about the order of the test? - correct answer Do...

NIH Stroke ScaleHow to assess Level of Consciousness? - correct answer 1a. Determine if patient is alert, oriented x4 1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-verbal cue. 1c. The patient is asked to open an...

NIH stroke scale (the basics) 1a LOC - correct answer Assess basic state of wakefulness, awareness, or alertness. 1b. LOC Question - correct answer The Pt. is asked month and her/her age 1.c LOC command - correct answer The Pt. is asked to open/close eyes and grip and release the non-peretic hand. 2. Best Gaze - correct answer Horizontal eye movements. Use pen and ask Px to follow. Look for any deviations. 3. Visual - correct answer Visual fields tested in all quadrants by conf...

NIH Stroke Scale 1A - Level of consciousness - correct answer 0 - Alert; keenly responsive 1 - Arouses to minor stimulation 2 - Requires repeated stimulation to arouse 2 - Movements to pain 3 - Postures or unresponsive 1B - Ask month and age - correct answer 0 - Both questions right 1 - One question right 1 - Dysarthric, intubated, trauma, or language barrier 2 - Aphasic 1C - "Blink eyes" and "Squeeze hands" - correct answer 0 - Performs both tasks 1 - Performs one task 2 ...

NIH Stroke scale (NIHSS) What NIHSS measures - correct answer measures severity of symptoms of stroke NIHSS areas of assessment - correct answer Level of consciousness Vision Extraoccular movements Facial Palsy Limb strength Ataxia Sensation Speech and language Grading scale of NIHSS - correct answer 3 or 4 point scale Scores range from 0-42 Score of >25 - correct answer Very severe stroke on NIHSS scale Score of 15-24 - correct answer Severe stroke on NIHSS scale ...

NIH Stroke Scale / NHISScommon signs of a stroke - correct answer •Confusion •Slurred speech •Facial droop •Extremity weakness and/or numbness •Vision disturbance •Dysphasia •Ataxia FAST - correct answer •FAST - rapid identification for lay people •Does not identify sensory impairment, vertigo or gait changes -Facial droop -Arm weakness -Slurred speech -Time ways to assess a stroke - correct answer •FAST - rapid identification for lay people •CPSS, LAPS...