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StrokeAssociation.org/WarningSigns
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(2)
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(2)
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(1)
(2)
(3)
(0)
(1)
(2)
(0)
(1)
(2)
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(1)
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(4)
AHA/ASA Guidelines for the Early Management of Patients With Acute Ischemic
Stroke: http://stroke.ahajournals.org/content/44/3/870
* LOC Questions: “How old are you?”
“What month is this?”
^ LOC Commands: “Squeeze my hand.”
“Close your eyes.”
Motor Leg (left and right)
no drift
drift before 5 seconds
some effort against gravity
no effort against gravity
no movement
Limb Ataxia
absent
present in one limb
present in two limbs
Sensory
normal
mild to moderate
severe to total sensory loss
Best Language
normal
mild aphasia
severe aphasia
mute or global aphasia
Dysarthria
normal
mild to moderate
severe
Extinction/Inattention
no abnormality
mild
profound
NIH Stroke Scale
http://www.ninds.nih.gov/doctors/nih_stroke_scale.pdf
Level of Conciousness (LOC)
alert
(0)
minor stimulation
(1)
repeated stimulation
(2)
unresponsive
(3)
Response to LOC Questions*
answers both correctly
(0)
answers one correctly
(1)
answers neither correctly (2)
Response to LOC Commands^
obeys both correctly
(0)
obeys one correctly
(1)
obeys neither correctly
(2)
Best Gaze
normal
(0)
partial gaze palsy
(1)
forced deviation
(2)
Visual
no visual loss
(0)
partial hemianopia
(1)
complete hemianopia
(2)
bilateral hemianopia
(3)
Facial Palsy
(0)
normal
(1)
minor paralysis
(2)
partial paralysis
(3)
complete paralysis
Motor Arm (left and right)
no drift
(0)
drift before 10 seconds
(1)
some effort against gravity (2)
no effort against gravity
(3)
no movement
(4)