Nursing 3910A/B Lecture Notes - Lecture 9: Eric Lindros, Unconsciousness, Perfusion
6 Dec 2017
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Increased cranial pressure (icp: altered level of consciousness (loc, seizures, concussion. Infection sepsis: alcohol, electrolytes, overdose, uremia, trauma. Altered level of consciousness: not a disorder, function and symptom of multiple pathophysiologic phenomena, neurologic. 2: shock, brain injury, toxicologic, drugs and alcohol, metabolic, diabetic acidosis, kidney failure. Testing/diagnostics: based on previous slides, what tests could you do, blood work, blood glucose, electrolytes, blood alcohol level, creatine, cbc while blood cell count, hb, head ct, mri, urine analysis, ammonia elevated levels because of renal. Is a continuum, manifestations depend on where the ct is on the continuum. Loc: changes in the eye opening response, verbal response, motor response, eventually pupillary response, what system is at risk, skin breakdown, circulation, aspiration. Introduce yourself, shake hands: person, place, time, ask about current events, assess pupils, hand strength. If unresponsive or in coma can do a painful response: sternum, nail bed, trap, under eyebrow. Initially/early signs: restlessness and anxiety, pupils, purla.
