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8 Cards in this Set

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