NEURO

• HOW TO CHECK VITAL SIGNS

Neurologic vital signs
• supplement the routine measurement of temperature,
pulse rate, blood pressure, and respirations by evaluating
the patient’s level of consciousness (LOC), pupillary
activity, and orientation to time, place, and person.

• They provide a simple, indispensable tool for quickly

checking the patient’s neurologic status.
  GLASGOW COMA SCALE
• It is a neurological scale used to assess a
person's level of consciousness following a
brain injury or other neurological problems. It's
often used in emergency situations, such as in
cases of trauma or stroke, to quickly assess
the severity of neurological impairment.
 GLASGOW COMA SCALE (GCS)

1. Eye Response (E)

2.Motor Response (M)
3.Verbal Response (V)
 GLASGOW COMA SCALE

• 1. Eye Response (E): This component assesses the

patient's ability to open their eyes spontaneously or in
response to stimuli. The score ranges from 1 to 4, with 4
being the highest score indicating normal eye-opening
response.
• 2. Motor Response (M): This component evaluates the
patient's motor responses, such as movements in
response to stimuli or commands. The score ranges from
1 to 6, with 6 being the highest score indicating normal
motor response.
 GLASGOW COMA SCALE
• 3.Verbal Response (V): This component assesses the
patient's ability to speak or vocalize in response to stimuli
or commands. The score ranges from 1 to 5, with 5 being
the highest score indicating normal verbal response.

• NOTE : Each of these components is assessed independently, and the

scores are then totaled to give an overall GCS score. The maximum possible
score is 15, indicating normal function across all three components. A lower
score indicates a more severe impairment of consciousness.
• The Glasgow Coma Scale (GCS) is typically used to
assess any patient who has experienced a neurological
insult or injury, especially those with altered
consciousness.
 The following are:

 Traumatic Brain Injury (TBI): Patients with head trauma

 Stroke: Patients experiencing a stroke
 Seizures: Following a seizure, some patients may
experience altered levels of consciousness.
cont..

 Infection: Severe infections, such as meningitis or

encephalitis, can lead to altered mental status.

 Intoxication: Patients who have ingested drugs or

alcohol may present with altered consciousness.

 Metabolic Disturbances: Conditions such as diabetic

ketoacidosis or electrolyte imbalances can cause
alterations in consciousness.
 Changes in neurologic vital signs alone rarely indicate
neurologic compromise
 Any changes should be evaluated in light of a complete
neurologic assessment. But because these vital signs are
controlled at the medullary level, changes in neurologic
vital signs may signify ominous neurologic compromise.
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