What do you consider to be obtunded? - General Nursing Support Just note the Glasgow Coma Scale, or sedation scale, or write what you see Words like obtunded, stuporous, and lethargic can mean different things to different people, and it's wise to just describe the situation objectively
Elevated Ammonia level - New Nurses, First Year But patient mental status was declining Question can high ammonia make the patient obtunded where they are unable to protect their airway? I know he wasn't already doing well with the elevated PCO2 But was wondering aside from the elevated PcO2 could elevated ammonia level also cause them to be obtunded where they are unable to protect their
Questions about neuro assessment - Neuro Intensive Care, ICU 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
Need some help with documenting - Nursing Student Assistance People who are obtunded have a more depressed level of consciousness and cannot be fully aroused [1][2] Those who are not able to be aroused from a sleep-like state are said to be stuporous [1][2] Coma is the inability to make any purposeful response [1][2] Scales such as the Glasgow coma scale have been designed to measure the level of
Gcs - General Nursing Support - allnurses If we're just talking about narrative charting though, I think it would be better to just say 'Glasgow: E-4, V-NA (mute), M-6 ' By leaving it broken down like that and avoiding tallying the total score, you don't risk someone thinking that your patient was obtunded
Foley Cath Insertion - Critical Care - allnurses Just wait until the patient is obtunded and intubated and then do it Can't refuse it then 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
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) You might want to clarify with her what she means by "alert" and "oriented"