Nihss Scale Score Sheet

Nihss Scale Score Sheet Reference booklet for health professionals who administer the NIH Stroke Scale NIHSS to stroke patients

Scale Definition 1a Level of Consciousness The investigator must choose a response if a full evaluation is prevented by such obstacles as an endotracheal tube language barrier orotracheal trauma bandages A 3 is scored only if the patient makes no movement other than reflexive posturing in response to noxious stimulation Finger to nose heel to shin Score only if not caused by weakness 0 Normal comatose 1 Clumsy in one limb 2 Clumsy in two limbs Score 0 if extremity weakness present and pt cannot appropriately perform the exam 8 Sensation feeling Pin prick face arm leg compare sides 0 Normal 1 Decreased sensation

Nihss Scale Score Sheet

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Nihss Scale Score Sheet
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The NIH Stroke Scale Score NIHSS quantifies stroke severity based on weighted evaluation findings The examiner must choose a score for the patient with stupor or limited cooperation but a score of 3 should be used only if the patient is mute and follows no one step commands Sometimes it helps to resort to a very simple rule normal is 0 mute is 3 and everything else is either 1 or 2 depending on severity

National Institutes of Health Stroke Scale NIHSS Score Instructions BaselineScale Definition Date Time 24 Hrs Post TPA Discharge Date Time 1a LOC 0 Alert keenly responsive 1 Not Alert but arousable by minor stimulation to obey answer respond 2 Not Alert requires repeat stimulation obtunded requires strong stimuli 3 Reflex motor or autonomic effects response Administer stroke scale items in the order listed Record performance in each category after each subscale exam Do not go back and change scores Follow directions provided for each exam technique Scores should reflect what the patient does not what the clinician thinks the pat ient can do The clinician should

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A score of 2 severe or total should only be given when a severe or total loss of sensation can be clearly demonstrated Stuporous and aphasic patients will therefore probably score 1 or 0 The patient with brain stem stroke who has bilateral loss of sensation is scored 2 If the patient does not respond and is quadriplegic score 2 NIH STROKE SCALE ITEM Scoring Definitions Score 1a LOC 0 alert and responsive 1 arousable to minor stimulation 2 arousable only to painful stimulation 3 reflex reponses or unarousable 1b LOC Questions Ask pt s age and 1 Onemonth Must be exact 0 Both correct correct or dysarthri a intub ted foregn lang 2 Neither correct 1c

D finition score diagnostique et de gravit des accidents vasculaires c r braux AVC permet de mesurer l intensit des signes neurologiques pour en surveiller l volution et en estimer la gravit Description le NIH Stroke Scale 1 est bas sur le The NIH stroke scale calculator NIHSS calculator helps to objectively assess the impairment caused by a stroke It consists of 11 sections where each item can be scored with three to five grades The NIH stroke scale design is simple and this tool is

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Nihss Stroke Scale Printable
NIH Stroke Scale National Institute Of Neurological Disorders

https://www.ninds.nih.gov/.../NIH-Stroke-Scale_updatedFe…
Reference booklet for health professionals who administer the NIH Stroke Scale NIHSS to stroke patients

Table 1 From Lestvica NIHSS National Institutes Of Health Stroke Scale
Instructions Scale Definition Score National Institute Of

https://www.ninds.nih.gov/.../files/documents/NIH_Stroke_…
Scale Definition 1a Level of Consciousness The investigator must choose a response if a full evaluation is prevented by such obstacles as an endotracheal tube language barrier orotracheal trauma bandages A 3 is scored only if the patient makes no movement other than reflexive posturing in response to noxious stimulation


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Nihss Scale Score Sheet - The NIH Stroke Scale Score NIHSS quantifies stroke severity based on weighted evaluation findings