NEUROVASCULAR NURSING ASSESSMENT
NEUROVASCULAR NURSING ASSESSMENT
NEUROVASCULAR NURSING ASSESSMENT
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NEUROLOGICAL<strong>NURSING</strong> <strong>ASSESSMENT</strong>GLASGOW COMA SCALEEyesBest motorresponse (BMR)Best verbalresponse (BVR)Open Spontaneously 4 To verbal commandObeys6 Oriented andconverses5To verbal command 3 To painful stimulusLocalizes pain5 Disoriented andconverses4To pain 2 Flexion - withdrawal 4 Inappropriatewords3No response 1 Flexion - abnormal(decorticate rigidity)3 Incomprehensiblewords2Extension(decorticate rigidity)2 No response 1No response 1Total ___________________DATETIMEB.P.PARRESP. TEMP. EYES BMR BVRPupil Size:2 3 4 5 6 7 8 9● ● ● ● ● ● ● ●GLASGOWTOTALCOMMENTSINITIALSSAMPLEInitials RN SIGNATURE Initials RN SIGNATUREFORM #: HFBH-59-0480MR-0409(BACK)
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