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Title

Nih stroke scale - saint alphonsus

Description
Brain attack nihss assessment tool ... 1= answers one question correctly / unable to. comprehend. 2= answers neither question correctly.
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Full Text
Brain Attack NIHSS Assessment Tool (SHADED BOXES OPTIONAL)ASSESSMENT ITEM DESCRIPTION Priorto tPA 15min30min45min60min75min90min1a. WAKEFULNESS: (LOC) ALERTNESS0= ALERT, RESPONSIVE1= DROWSY BUT AROUSABLE WITH VERBALSTIMULATION2= STUPOROUS, REQUIRES REPEATED VERBAL ORPAINFUL STIMULI3= COMA, POSTURING WITH PAINFUL STIMULATION1b. ORIENTATION: MONTH & AGE0= ANSWERS BOTH QUESTIONS CORRECTLY1= ANSWERS ONE QUESTION CORRECTLY / UNABLE TOCOMPREHEND2= ANSWERS NEITHER QUESTION CORRECTLY1c. TWO STEP SIMPLE COMMAND: (LOC)ASK TO CLOSE EYES / OPEN EYES,MAKE A FIST / LET GO0= PERFORMS BOTH CORRECTLY (CREDIT GIVEN EVEN IFATTEMPTED)1= PERFORMS ONE CORRECTLY2= PERFORMS NEITHER CORRECTLY2. HORIZONTAL GAZE:MOVE FINGER LT. TO RT. ACROSS MIDLINE ORFOLLOW FINGER OR FACE0= NORMAL1= UNABLE TO CROSS MIDLINE IN ONE OR BOTH EYES2= FIXED GAZE (Toward involved hemisphere) NOTOVERCOME BY DOLLS EYE MANEUVER3. VISUAL FIELD: Cranial Nerve III, IV, VIINTRODUCE VISUAL FIELD STIMILUS - IFPATIENT LOOKSAT FINGER MOVING, SCOR...