NIH Stroke Scale / NHISS
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1. 1A - Level of con- sciousness 2. 1B - Ask month and age 3. 1C - "Blink eyes" and "Squeeze hands" 4. 2 - Test hori- zontal extraocu- lar muscles 5. 3 - Test visual fields 6. 4 - Test facial pal- 0 - Alert; keenly responsive 1 - Arouses to minor stimulation 2 - Requires repeated stimulation to arouse 2 - Movements to pain 3 - Postures or unresponsive 0 - Both questions right 1 - One question right 1 - Dysarthric, intubated, trauma, or language barrier 2 - Aphasic 0 - Performs bot...
1. How to assess Level of Con- sciousness? 2. What are the re- sults? 3. How to assess best gaze? 1a. Deteremine if patient is alert, oriented x4 1b. The patient is asked the month and his/her age. The answer must be correct - there is no partial credit for being close. Aphasic and stuporous patients who do not comprehend the questions will score 2. It is important that only the initial answer be graded and that the examiner not "help" the patient with verbal or non-...