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Flashcards in 4 - altered mental status and coma Deck (11)
1

what is altered mental status

non-specific term referring to impaired responsivness
- life threatening emergency

2

def. coma

sleep like state of unrousable unresponsiveness

3

9 possible causes of coma

TIPS and AEIOU
Trauma/temp
Infection
Poisoning/psych
Space occupying lesion/ stroke
Alc/acidosis
Epilepsy
Insulin
Oxygen
Uremia

4

initial aproach to coma

ABC
A - ETT,
B - O2 for all
C - maintain cerebral perfusion, IV access

5

4 drugs to give

universal antidotes
DON'T
Dextrose
O2
Naloxone
Thiamine

6

4 possible findings on vitals

1. extreme hypotension - encephalopathy, brain hemmorage
2. hypotension - the usual
3. hyperthermia - heat stroke, drugs
4. hypothermia - primary exposure or secondary

7

3 parts of GCS

1. eye opening 1-4
2. verbal response 1-5
3. motor respone 1-6

8

parts of head and neck exam

- examine for skin laceration
- basal skull fracture
- meningitis flex

9

parts of general exam

- feel the skin
- smell breath
- inspection
- examine major organs

10

when to do diagnostic testing

when have clinical clue of what might be happening

11

what to do before lumbar puncture

assess ICP - otherwise herniation