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- Obtunded vs Lethargic: Understanding Neurological States - allnurses
Obtunded, you are very difficult to arouse, but when you do arouse you talk clearly (even if only for 10 secs) and then you're out again Stuporous you are very difficult to arouse and when you are aroused it is slurred garbled nonsense then you are out again
- What do you consider to be obtunded? - allnurses
our computer charting includes lethargic, obtunded, stuperous and comatose for assessment choices for LOC I believe the reference text describes obtunded as being, among other things, difficult to rouse and falling asleep while speaking
- Obtunded vs Lethargic: Understanding Neurological States - allnurses
Describing a patient as obtunded, the pt will be able to sustain a little bit longer awakening compared to stuporous pt For stupor, however, patient can only be stimulated by deep pain stimuli and responds usually with brief grimace moan or brief opening of eyes
- LOC: Sedated vs comatose vs unconscious - MICU, SICU - allnurses
From what I understand obtunded to be, the pt should be sedated but able to awaken with verbal or gentle tactile stimulus and follow simple commands Comatose, in my understanding, is the pt is not waking or following commands with sedation and paralytics off
- Elevated Ammonia level - New Nurses, First Year
But in 4 hours patient GCS declined to 8 or 9 Obtunded Called the doctor about possible intubation to protect airway He said leave him on Bipap for now because pCO2 went down from 101 to 92 But patient mental status was declining Question can high ammonia make the patient obtunded where they are unable to protect their airway?
- Alert but confused - Page 4 - General Nursing Support - allnurses
The patient may be oriented but is lethargic or obtunded,etc and needs more stimuli to elicit a response A patient may also be alert (meaning able to respond with minimal stimulation) but is confused (unable to identify correct time, place, situation, person)
- Foley Cath Insertion - Critical Care - allnurses
Assuming that the patient previously made her or his wishes known, the fact that he or she is now "obtunded and intubated" doesn't negate the previous refusal It kind of does if his status has changed to the point of making accurate I O imperative, if incontinence is threatening his skin integrity and if a relative gives permission after he
- Questions about neuro assessment - Neuro Intensive Care, ICU - allnurses
Obtunded: Sleeps unless stimulated vigorously (loudly repeating name, painful stimuli), not very oriented, maybe says a word or just mumbles Stuporous: Doesn't wake up despite vigorous stimulation, only withdraws from pain Coma: No response to any stimuli, including pain Also, your use of the term "arousal" here is incorrect
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