comatose patient

Question 1

task

Answer 1

199

Question 2

d/d

Answer 2

-meningitis
-drug over dose
-diabetic hypoglycemia, hyperglucemia
-CVA(SAH)
-head injury
-psychiatric problem

Question 3

exam

Answer 3

-GCS
-look for head injury elsewhere
-evidence of neck stiffness
-examine eyes
gentle ipen, eye movement, pupils
corneal response
fundi
-breathing pattern
hyperventilate : DKA
hypoventilation: drug overdose
-IV drug use, insulin injection sites
-PR, rhythm,
-immediate blood sugar estimation

Question 4

mx

Answer 4

-CT MRI : IF available do lumbar puncture
-if not do LP if neck stiffness present 25 g needle
-blood urine for drug screen
-se/ blood glucose
-oxygen sat