peds59

Question 1

flaccidity or no movement

Answer 1

suggests spinal or brainstem injury

Question 2

hypoventilation

Answer 2

suggests opiate or sedative overdsose

Question 3

hyperventlation

Answer 3

suggests metabolic acidos, neurogenic pulm edema, or midbrain injury

Question 4

cheyne-stokes breathing

Answer 4

alternating apneas and hyperapneas; suggests bilateral cortical injury

Question 5

apneustic breathing

Answer 5

pausing at full inspiration; indicates pontine damage

Question 6

ataxic or agonal breathing

Answer 6

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

Question 7

unilateral dilated nonreactive pupil

Answer 7

suggests uncal herniation

Question 8

bilateral dilated nonreactive pupils

Answer 8

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

Question 9

bilateral constricted reactive pupils

Answer 9

suggest opiate ingestion or pontine injury

Question 10

oculocephalic maneuver (dolls eyes)

Answer 10

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

Question 11

caloric irrigation

Answer 11

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