Coma - Matt Vercauteren Coma Learning objective: There is a...

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Matt Vercauteren Coma Learning objective: There is a lot so I just did some general information and diabetic coma Define Coma Is a major complication of a serious central nervous system disorder. Patient is unarousable and unresponsive Etiology seizure hypothermia metabolic disturbances (cause ischemia/hypoglycemi) lesions of the CNS - that compress the brainstem - stroke - herniation - head injury - neck injury these causes must cause damage to the following area(s) to induce a coma. - lesion that damages the reticular activating system - destruction of large portion of both hemispheres - suppresion of the reticular system by drugs, toxins, metabolic issues Acute onset may indicate: - Subarachnoid hemorrhage - brainstem stroke - intracerebral hemorrhage Slow onset - mass lessions (e.g. cancer) If coma is preceded with intoxication or delirium like state - metabolic disturbance (e.g. diabetes) Assessment & Emergency Measures Supportive therapy/monitor/treat - Respiratory difficulties if needed with (oropharyngeal airway) - Blood pressure Position of the patient - Place patient on side with neck partially extended - Remove dentures - secretions cleared with suction
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This note was uploaded on 02/18/2012 for the course PAS 600 - 601 taught by Professor Garrubba during the Fall '10 term at Chatham University.

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Coma - Matt Vercauteren Coma Learning objective: There is a...

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