The Critically Ill Patient: Coma, Raised Intracranial Pressure, Nursing Management and the Glasgow Coma Scale
Notes on the patient at high risk of a life-threatening deterioration. Coma is defined with the pathology of consciousness in the reticular activating system, the stages of altered consciousness from drowsiness through obtundation and stupor to deep coma, the causes from meningitis and cerebral malaria to poisoning, and the diagnostic evaluation with history, neurological assessment, fundoscopy, neuro-imaging and the EEG. Emergency and specific management follow, then the nursing assessment, diagnoses and interventions, the signs and treatment of raised intracranial pressure, the problems of the unconscious patient, brain death testing and the motor and verbal scoring of the Glasgow coma scale.
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