Transcription of NEUROLOGICAL ASSESSMENT FLOW SHEET
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NEUROLOGICAL ASSESSMENT FLOW SHEET
DATE:TIME:(Military Time)EYES 4 = SPONTANEOUSOPEN 3 = To SPEECH2 = To PAIN1 = NONEC = Eyes CLOSED by EdemaBEST 5 = ORIENTEDVERBAL 4 = CONFUSEDRESPONSE 3 = Inappropriate WORDS2 = Incomprehend. SOUNDS1 = NONET = ET / TrachBEST 6 = Obeys CommandsMOTOR 5 = LOCALIZES (Pain)RESPONSE 4 = WITHDRAWS (Pain)3 = FLEXION (Pain)2 = EXTENSION (Pain)1 = NONE GLASCOW COMA SCALE TOTAL:PUPIL SIZE: REACTION REACTION: B = BRISKN = NO REACTIONS = SLUGGISHC = EYES CLOSEDPUPIL SIZE: REACTION REACTION: ARMS NP = Normal PowerW= WeaknessNR= No ResponseLEGS NP = Normal PowerW= WeaknessNR= No ResponseREFLEXES CORNEAL: P =PRESENTGAG: A =ABSENTBABINSKI: SEIZURE ACTIVITY: BREATHING PATTERN: INTIALS:8850319 Rev. 05/05 PAGE 1 of 2 NEUROLOGICAL ASSESSMENT Flow Sheet_NURSING RIGHT LEFT ( See Reverse ) ( See Reverse )PART OF THE MEDICAL RECORDNEUROLOGICALASSESSMENTFLOW SHEETPATIENT IDENTIFICATION12 3 4 5 678 EXTREMITIES: Record RIGHT ("R") and LEFT ("L") if there is a difference between the two sides.
CHEYNE - STROKES Cycles of gradually increasing tidal volume, followed by gradual decreasing tida volume. TERM DESCRIPTION 1. ALERT Responds immediately and fully to visual, auditory or tactile stimulation. 2. LETHARGIC Drowsy, sleeps a lot, but is easily aroused and then responds to visual, auditory or tactile stimulation. 3.
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