PNUR-126 Lecture Notes - Pupillary Light Reflex, Eyelid, Conjunctiva
Document Summary
Head to toe, systematic, always bilateral & completed directly on skin surface (not over clothing) Outline assessments (ensure proper technique, land marking may include diagrams as a visual, patient direction) and identify normal findings for each. Eyes opening- the gcs identifies 4 different eye-opening response- spontaneously, to speech, to pain, and no response. Verbal response- gcs identifies 5 different verbal response- oriented to time, place, and person, confused, inappropriate words, incomprehensible sounds, and no response. Motor response obeys commands, moves to localized pain, flexion withdrawal from pain, abnormal extension (decorticate) What are minimum score & maximum score- the minimum score is 3, and the maximum is 15. How would you increase the stimulus you will use to complete this assessment? mnemonic. Normal resting pupil: pupils look equal in size, they are round and reacting to light. Reactive to light (pupillary light reflex) -is the normal constriction of the pupils.
