Persistent Vegetative State to Brain Death

Question 1

Minimally conscious state

Answer 1

Following commands
Yes/No responses (regardless of accuracy)
Intelligible verbalization
Purposeful behavior, related ot environmental stimul (not reflexvie)

Question 2

PVS

Answer 2

No awareness of self or environment
No behavrioal responses to stimuli
No language comprehension
Intermittent wakefullness by presence of sleep-wake cycles
Preserved hypothalamic and BS autonomic function to permit survival with care
Bowel and bladder incontinence
Variably preserved CN and spinal cord reflexes

Question 3

Recoveyr from PVS

Answer 3

More likely in nontraumatic injury

Question 4

Brain death def

Answer 4

Sustained either irreversible cessation of circulatory and resp functions

OR

Irreversible cessation of all function of entire brain, including brainstem

Question 5

In brain death, angiogram

Answer 5

Will show minimal blood flow

Question 6

When are ancillatery testing studies performed?

Answer 6

If clinical exam cannot be fully performed due to patient factors