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8 Cards in this Set
- Front
- Back
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T or F
coma is shut down of both cerebral hemispheres OR brainstem |
T
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Cz of coma
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HEMORRHAGE*
INFARCTION* abscess tumor endogenous disturb (lyte, endocrine, metab func) EXOGENOUS TOXIN (meds)* EtOH, other drugs infection inflam dz generalized sz/postictal |
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T or F
DDx of coma: catatonic hysterical "locked in" persistent veg st |
T
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T or F
"locked-in" pts are awake but can only move eyes/eye-lids |
T
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What is locked-in assoc w/ (3)
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central pontine myelinosis
brainstem stroke adv ALS |
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T or F
persistent veg state has reg sleep/wake cycles, is unaware of self/envir |
T
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Most common cz of persistent veg st (2)
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trauma w/ diffuse cortical inj
hypoxic ischemic inj |
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initial tx of coma**
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1. stabilize pt: ABC
2. reverse the reversible: DONT: dextrose, oxygen, naloxone, thiamine 3. identify, tx underlying cz, assoc complic 4. prev further damage |
