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Neuro Vital Signs Form

This document appears to be a neurovital signs monitoring sheet for a patient. It includes fields to record measurements of pupil size and reaction, eye opening, motor response, and verbal response at regular intervals. Nursing staff would use this sheet to monitor the patient's neurological status over time and document any changes in their condition.

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Abegail Tabuniag
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810 views2 pages

Neuro Vital Signs Form

This document appears to be a neurovital signs monitoring sheet for a patient. It includes fields to record measurements of pupil size and reaction, eye opening, motor response, and verbal response at regular intervals. Nursing staff would use this sheet to monitor the patient's neurological status over time and document any changes in their condition.

Uploaded by

Abegail Tabuniag
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Patients Name: __________________________ Age: _______ Sex: _______ Room Num: _________

NEUROVITAL SIGNS MONITORING SHEET


DATE: 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7
NN MN
EYE OPENING
OPEN
CLOSE
SWOLLEN
MOTOR RESPONSE
SEDATED
VERBAL RESPONSE
ET/TRACH

TOTAL:
R SIZE/REACTION
L SIZE/REACTION
NOD ON DUTY AM: PM: NIGHT:

DATE: 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7
NN MN
EYE OPENING
OPEN
CLOSE
SWOLLEN
MOTOR RESPONSE
SEDATED
VERBAL RESPONSE
ET/TRACH

TOTAL:
R SIZE/REACTION
L SIZE/REACTION
NOD ON DUTY AM: PM: NIGHT:

DATE: 8 9 10 11 12 1 2 3 4 5 6 7 8 9 10 11 12 1 2 3 4 5 6 7
NN MN
EYE OPENING
OPEN
CLOSE
SWOLLEN
MOTOR RESPONSE
SEDATED
VERBAL RESPONSE
ET/TRACH

TOTAL:
R SIZE/REACTION
L SIZE/REACTION
NOD ON DUTY AM: PM: NIGHT:

PUPIL REACTION  Brisk (B) Anisocoria (A) Eye Opening Motor Response Verbal Response
 Sluggish(S) Spontaneous 4 Obeys Command 6 Oriented 5
 Nonreactive) (NR) To Speech 3 Localizes to pain 5 Confused 4
To pain 2 Withdraw to pain 4 Inappropriate 3
PUPIL SIZE 2 3 4 5 6 7 8 9 None 1 Decorticate(in) 3 Speech
MM Decerebrate (out) 2 Incomprehensible 2
None 1 None 1

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