NIH Stroke Scale Study guides, Class notes & Summaries

1a LOC - ANSWER-Assess basic state of wakefulness, awareness, or alertness. 1b. LOC Question - ANSWER-The Pt. is asked month and her/her age 1.c LOC command - ANSWER-The Pt. is asked to open/close eyes and grip and release the non-peretic hand. 2. Best Gaze - ANSWER-Horizontal eye movements. Use pen and ask Px to follow. Look for any deviations. 3. Visual - ANSWER-Visual fields tested in all quadrants by confrontation, using finger counting. Peripheral vision is tested. Cover eye and...

1a- Level of consciousness - ANSWER-0=Alert; keenly responsive 1=Not alert; but arousable by minor stimulation to obey, answer, or respond. 2=Not alert; requires repeated stimulation to attend or is obtunded and requires strong or painful stimulation to make movements (not stereotyped). 3=Responds only with reflex motor or autonomic effects or totally unresponsive, flaccid, and areflexic. 1b- LOC questions - ANSWER-0=answers to questions correctly 1=Answers one questions correctly 2= Ans...

What NIHSS measures - ANSWER-measures severity of symptoms of stroke NIHSS areas of assessment - ANSWER-Level of consciousness Vision Extraoccular movements Facial Palsy Limb strength Ataxia Sensation Speech and language

1A - Level of consciousness (stimulate, rub, pinch) - ANSWER-0 - Alert; keenly responsive 1 - not alert, Arouses to minor stimulation 2 - Requires repeated stimulation to arouse 3 - reflex movements only or totally unresponsive; Postures or unresponsive( use painful/noxious stimulus) 1B - Ask month and age - ANSWER-0 - Both questions right 1 - One question right 1 - Dysarthric, intubated, trauma, or language barrier 2 - Aphasic 1C - "Blink eyes" and "Squeeze hands" (ask pt to ...

NIH T/F: This test is diagnostic - ANSWER-True NIH - Who is this test for? - ANSWER-Stroke patients NIH - Purpose - ANSWER-Tests severity of stroke and impairment of function it has on patient NIH - How many different items does it use to measure severity of stroke? - ANSWER-11 NIH - T/F: You need to go into specific order - ANSWER-True NIH - What is the pin prick testing? - ANSWER-Sensation NIH - What are you testing for asked month and his/her age, asked to open and close eye...

1a - ANSWER-level of consciousness 1b - ANSWER-LOC questions ask what month it is and their age 1c - ANSWER-LOC commands close and open eyes, or make a fist and open it 2 - ANSWER-best gaze horizontal eye movement is tested 3 - ANSWER-visual fields by finger counting or visual threat 4 - ANSWER-facial palsy show teeth and/or raise eyebrows testing for symmetry

Score for large strokes - ANSWER-> 10 (however, if it is a brainstem stroke it can have a low score and still be a large stroke) Lowest score Highest score - ANSWER-Lowest score is 0 Highest score is 42 Components of *Eyes* - ANSWER-Gaze - voluntary gaze direction (non-comatose) - vestibule-ocular reflex (comatose) Visual fields - confrontation, all 4 quadrants (non-comatose) - threat (comatose) Components of *LOC* - ANSWER-Arousal Questions - name - month

Level of Consciousness (LOC) - ANSWER--General alertness -Includes Questions and Commands LOC Questions - ANSWER--What is the month? -How old are you? LOC Commands - ANSWER-Pt is asked to: -Open/close eyes -Grip then release non-paretic hand Best Gaze - ANSWER--Have pt follow moving objects side to side -Only horizontal movements are tested Visual - ANSWER--Visual fields are tested by confrontation -Includes upper and lower quadrants -Identify when they see your hand move by p...

1a LOC - alert - ANSWER-0 1a LOC - arousable by minor stimulation - ANSWER-1 1a LOC - Arousable by repeated or strong stimulation - ANSWER-2 1a LOC - unresponsive or reflex response only - ANSWER-3 1b LOC questions - answers month and age correctly - ANSWER-0 1b LOC questions - answers age but not month - ANSWER-1 1b LOC questions - answers month and age *incorrectly* - ANSWER-2 1c LOC commands - open/close eyes and grip/release hand - ANSWER-0 1c LOC commands - open/clos...

How many items on the NIH stroke scale? - ANSWER-11 NIH Stroke scale is - ANSWER-an 11-item clinical evaluation instrument widely used in clinical trials and practice to assess neurologic outcome and degree of recovery from stroke. NIH Stroke Scale is used to quantify the effects of acute cerebral ischemia on levels of ... (7 items) - ANSWER-levels of: consciousness vision motor function (facial and extremities) cerebellar function sensation language extinction or inattention NIH...