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National Institutes of Health Stroke Scale (NIHSS) Exam Helpful for quickly assessing level of consciousness (LOC). - Answer- GCS A 15-item neurologic evaluation assessment scale. It assesses not only LOC but also deficits and provides a standardized approach to neurologic examinations. - Answer- NIHSS An NIHSS total score of _____ is normal - Answer- 0-1 An NIHSS total score of _____ is a minor stroke - Answer- 1-4 An NIHSS total score of _____ is a moderate stroke - Answer- 5-15 An NIHSS total score of and more than _____ is a severe stroke - Answer- 20 An NIHSS total score of _____ is a moderately severe stroke - Answer- 15-20
NIHSS Score: 0-1 - Answer- normal
NIHSS Score: 1-4 - Answer- minor stroke
NIHSS Score: 5-15 - Answer- moderate stroke
NIHSS Score: 15-20 - Answer- moderately severe stroke
NIHSS Score: >20 - Answer- severe stroke
The NIHSS score also strongly predicts likelihood of _____, with higher scores resulting in more _____ and poorer _____. - Answer- recovery disability outcomes Considered appropriate for ischemic stroke if the total score is more than 4-6 and there is sustained, nonimproving deficit. - Answer- Use of thrombolytics (e.g., recombinant tissue plasminogen activator [rt-PA]) Use of thrombolytics (e.g., recombinant tissue plasminogen activator [rt-PA]) is considered appropriate for ischemic stroke if the total score is more than _____-_____ and there is _____, _____ deficit. - Answer- 4-6
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