Administer stroke scale items in the order listed. Record performance in each category after each subscale exam. Do not go back and change scores. Follow directions provided for each exam …
National Institutes of Health Stroke Scale (NIHSS) Score Instructions BaselineScale Definition Date/Time 24 Hrs Post TPA Discharge Date/Time 1a. LOC 0 = Alert keenly responsive 1 = Not …
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NIH STROKE SCALE IN PLAIN ENGLISH 1a. Level of Consciousness 0= Alert 1= Sleepy but arouses 2= Can’t stay awake 3= No purposeful response or reflexive motor only (comatose) …
NIH STROKE SCALE IN PLAIN ENGLISH . Sedating medications affecting scale? (Circle Y or N) Y / N Y / N Y / N Y / N Y / N Date / Time / Initials . 1a. Level of Consciousness 0= Alert 1= …
NIH Stroke Scale 1 AP-002662 v1.0. 5. Motorarm (elevate arm for 10 seconds) No drift 0 R Drift (arm falls before 10seconds but doesn’t hit bed) 1 Some effort against gravity (drifts down …
NIH Stroke Scale Instructions • Administer stroke scale items in the order listed. • Record performance in each category after each subscale exam. • Do not go back and change scores. …
NIH STROKE SCALE 1.a. Level of Consciousness: 1.b. Ask patient the month and their age: 1.c. Ask patient to open and close eyes and grip and release non-paretic hand. 2. Best gaze (only …