Glasgow Coma Scale

Beschreibung

TBI Karteikarten am Glasgow Coma Scale , erstellt von Rachel Layton am 05/10/2018.
Rachel Layton
Karteikarten von Rachel Layton, aktualisiert more than 1 year ago
Rachel Layton
Erstellt von Rachel Layton vor etwa 8 Jahre
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Zusammenfassung der Ressource

Frage Antworten
Best Eye Response (E) Eyes opening spontaneously - 4 Eyes opening to speech - 3 Eyes opening in response to pain - 2 No eye opening - 1
Best Verbal response (V) Oriented (pt responds coherently and appropriately to questions about person, place, time and situation) - 5 confused (pt responds to questions coherently but there is some disorientation and confusion) - 4 Inappropriate words (random or exclamatory speech, but not conversational exchange) - 3 Incomprehensible sounds ( moaning but no words) - 2 None - 1
Best Motor Response (M) Obeys commands (pt does simple things as asked) - 6 Localizes to pain (purposeful movements toward changing painful stimuli) - 5 withdraws from pain (pulls part of body away when pinched) - 4 Flexion in response to pain (decorticate response) - 3 Extension to pain (decerebrate response) -2 No motor response - 1
How does the GCS scoring work and what does it communicate? Scores range from 3-15 and communicate about the level of consciousness of patients with an acute brain injury. The findings using the scale guide initial decision making/monitor trends in responsiveness that are important in signalling the need for new actions.
What 3 areas are assessed with the GCS? Eye, verbal and motor responses
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