University:
Rasmussen University
Course:
NU231 / NURS2349 | Medical Surgical 1
Academic year:

2022
Views:

218

Pages:

2
Author:

Seena4tm5

Assessment of Neurological Re-check with Glasgow Coma Scale    This is a REVIEW from CNUR 203, so try to do this activity without referring to the neuro watch sheet. Vital signs are all competed and will be omitted here. What are the components of neurological re-check? Patient #1: A 73-year-old patient looks at you when you speak to her. When you ask her the date, she says "blue." You ask the patient to squeeze your fingers, and you note mild leftsided weakness when she grips your fingers and when she pushes her left foot against your hand. PEARRLA 5mm. Eye opening: 3 Motor response: 6 Verbal response: 3 12/15 Patient #2: A male patient opens his eyes briefly with sternal rubs (pain stimuli), and closes his eyes again. He moves his right arm away and flexes his lower arm when you attempt to start an IV to the arm. He speaks but you are unable to understand the patient’s words. PEARRLA 5mm. 2, 2, 4  7 Patient #3: A seven-year-old male who fell from the top of a jungle gym is awake and neurologically intact and strong in all four extremities. When you ask what happens, he tells you he fell during the recess. PEARRLA 5mm 4, 5, 6  15/15 Patient #4: You are assessing a 20-year-old male suspected of overdosing. He is staring off into space, writhing and babbling. When you start an IV, he cries out incomprehensibly but obeys your verbal command. When you push on his feet, he pushed back firmly. She squeezes your hands tightly when you hold them. PEARRLA 3mm 3, 6, 2  11 Patient #5: A 75-year-old female unconscious, eyes closed. She extends his arms when pressing hard on the finger nails (pain stimuli). No response to your questions. PEARRL 4mm 1, 4, 1 6/15