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Flashcards in peds59 Deck (11):
1

flaccidity or no movement

suggests spinal or brainstem injury

2

hypoventilation

suggests opiate or sedative overdsose

3

hyperventlation

suggests metabolic acidos, neurogenic pulm edema, or midbrain injury

4

cheyne-stokes breathing

alternating apneas and hyperapneas; suggests bilateral cortical injury

5

apneustic breathing

pausing at full inspiration; indicates pontine damage

6

ataxic or agonal breathing

irreg respirations with no particular patern; indicates medullary injury and impending brain death

7

unilateral dilated nonreactive pupil

suggests uncal herniation

8

bilateral dilated nonreactive pupils

suggests topical application of a dilating agent, a postictal state, or irrev brainstem injury

9

bilateral constricted reactive pupils

suggest opiate ingestion or pontine injury

10

oculocephalic maneuver (dolls eyes)

in an injured brainstem, moving the patient's head will not cause the eyes to move

11

caloric irrigation

put cold water in ear; normal response is eye deviation to the irrigated side;; abnormal response suggest pontine injury