Level of Consciousness
Motor Function
Pupillary Function
Respiratory Function
Vital Signs
100
A patient's ability to respond to verbal or noxious stimuli.
What is evaluation of arousal?
100
Evaluating opposition to passive movement
What is muscle tone?
100
Estimation of pupil size and shape
Evaluation of pupillary reaction to light
Assessment of eye movement
What is assessment of pupillary function
100
Observation of respiratory pattern and evaluation of airway status
What is nursing priorities of respiratory function?
100
Body's compensatory mechanism with an cerebral injury
What is a hyperdynamic state?
200
Assessment of patient's orientation to person, place, time, and situation.
What is appraisal of awareness?
200
Perform movements against resistance
What is muscle strength?
200
Normal pupil size is 2-5 mm and may vary 1mm between pupils. this occurs normally in 16-17% of adults
What is anisocoria?
200
Responsible for the length of inspiration and expiration and the underlying respiratory rate
What is the apneustic and pneumotaxic centers of the pons?
200
Systolic BP 160 Diastolic BP 49 160/49
What is widened pulse pressure?
300
A scored scale based on three categories
What is GCS?
300
Abnormal flexion is another name for a type of posturing
What is decorticate posturing?
300
Brisk, Sluggish, non-reactive, or fixed
What is pupillary response to light?
300
These respiratory problems cause ICP to rise
What are hypoxemia and hypercapnia?
300
Widened pulse pressure, bradycardia, bradypnea
What is Cushing's Triad?
400
Deteriorates before any other neurologic change
What is level of consciousness?
400
This type of posturing is more serious
What is decerebrate?
400
Eye movement deviates to the opposite directional which the head is turned
What is a present doll's eye reflex and intact oculocephalic reflex?
400
These reflexes are responsible for the protection of the airway
What are cough, gag, and swallow?
400
Cushing's triad is a late sign in response to increased intracranial hypertension and usually indicates
What is herniation?
500
A newer scale to assess level of consciousness
What is the FOUR scale?
500
This is known as 
What is decorticate posturing?
500
Only performed by a physician to test brain stem function
What is oculovestibular reflex?
500
Cheyne-Stokes breathing, Apneustic breathing, cluster breathing, and ataxic respirations.
What are abnormal neurological breathing patterns?
500
A widened pulse pressure is also known as
What is systolic hypertension?