PERRLA power
What tool is commonly used to test pupil reaction?
A penlight.
Orientation is usually tested in these 3 categories...
Person, place, and time.
What does the abbreviation "LOC" stand for?
Level of Consciousness
Asking the patient to squeeze your fingers tests what?
Hand grip strength
The way a person walks is called?
gait
What does PERRLA stand for?
Pupils are Equal, Round, Reactive to light, and Accommodating.
A patient only knows their name and that they're in the Saint John Regional Hospital. They cannot tell you the date or year. They are orientated how many times?
Oriented x2
How do you know if someone is conscious?
Awake, alert, talking, and responsive to stimuli.
How to assess lower extremity strength?
Have patient do foot pushes and pulls.
Why is it important to stay close to the patient during the Romberg test?
How to ensure pupils are reactive to light?
Make sure the room is dark, shine penlight into both eyes, watch pupils constrict and then dilate.
If a patient cannot remember today's date, what other questions can you ask?
Month, year, season
LOC is most commonly assessed using what scale?
Glasgow Coma Scale
Unequal grip strength between right and left hands may indicate what?
a stroke
The Glasgow Coma Scale measures what 3 responses?
Eye, verbal, and motor.
What is the range for normal pupil size?
3-5 millimeters
What is the difference between orientation and level of consciousness?
Orientation refers to the awareness of self and surroundings, and level of consciousness refers to how awake and responsive a person is.
A patient who only responds to painful stimuli is described as?
Stuporous
If a patent has a right sided stroke, which side will have weakness?
The left side
In the Romberg test, the patient does what while standing still?
closes eyes, feet together, arms at side.
What can a blown pupil indicate?
Stroke
As cognition worsens, what is the last orientation lost?
person
What is the deepest level of unconsciousness, with no response to stimuli?
Coma
What is the medical word for complete loss of movement?
Paralysis
On the Glasgow Coma Scale, what does a score of 15 indicate?
A score of 15 indicates that a patient is fully conscious, awake, and alert.