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Lethargy consists of severe drowsiness in which the patient can be aroused by moderate stimuli and then drift back to sleep. Obtundation is a state similar to lethargy in which the patient has a lessened interest in the environment, slowed responses to stimulation, and tends to sleep more than normal with drowsiness in between sleep states.
Lethargy consists of severe drowsiness in which the patient can be aroused by moderate stimuli and then drift back to sleep. Obtundation is a state similar to lethargy in which the patient has a lessened interest in the environment, slowed responses to stimulation, and tends to sleep more than normal with drowsiness in between sleep states.
our computer charting includes lethargic, obtunded, stuperous and comatose for assessment choices for LOC. I believe the reference text describes obtunded as being, among other things, difficult to rouse and falling asleep while speaking. This question came up at work last night and Im curious as to what you all think.
Specializes in Cardiac. From what I understand obtunded to be, the pt should be sedated but able to awaken with verbal or gentle tactile stimulus and follow simple commands. Comatose, in my understanding, is the pt is not waking or following commands with sedation and paralytics off. Specializes in Critical care.
Published Jul 25, 2004. nursnancy, LPN, RN. 34 Posts. Specializes in Geriatric Psych. Have you had experiences with pts having a marked sudden improvement just before death? I have a friend whose mother went unresponsive (they were unable to wake her) for most of the day yesterday. She is in end stage Parkinson's and recently had a second CVA.
Mar 24, 2009. Try to turn them to their side and apply oxygen, by mask, not nasal cannula. Note the type of seizure, length of time, etc. As stated above don't try to put anything in the mouth. Try to protect them from harm. If they are on the floor, leave them there until the event is over.
Published Oct 3, 2012. mandaaRN. 27 Posts. Specializes in med-surg. So last night when I was giving my patient her meds in the med cup of course, she dropped them on the floor. It was her synthroid and oxycodone. I told her I would get new pills for her but she insisted on taking them and even got down on her hands and knees to find the two pills.
Aug 17, 2018. Cardiogenic shock is a sudden pump failure. Septic shock is caused by a cascade of events that start with an infection. Just because a patient has a cardiac history doesn't mean that they'll go into cardiogenic shock over a different kind of shock. Two different disease processes.
My other interventions are: assess vitals, assess 5 P's, assess LOC, assess swallowing, maintain neck alignmet, provide cervical collar and instruct pt. to where for 6 weeks post op, pain meds, monitor ESR rate, assess moblilty, and of course the usual post op interventions such as turn cough deep breathe.
Level of consciousness (LOC) is a measurement of a person's arousability and responsiveness to stimuli from the environment. [1] A mildly depressed level of consciousness may be classed as lethargy; someone in this state can be aroused with little difficulty. [1] People who are obtunded have a more depressed level of consciousness and cannot be ...