[Gator,SN]

Thank you for clearing that up!

[NurseGirlKaren]

Hey, if anybody can clear it up, it's an ICUNeuroNerd!!!

Thanks.

[ICUNeuroNerd]

thanks guys, just don't ask me about cardiac stuff. hehe.

[cnrn]

The "A" stands for accommodation.
This can only be checked on pts. that are capable of following commands.
It is the constriction of the pupil caused when you have the pt. focus on an object that is held 1-2 feet in front of the face and then moving the object closer to the face.
As the object comes within 4-6 inches the eyes will converge inward and the pupils will constrict.

[ICUNeuroNerd]

just don't chart PERRLA on a patient that doesn't wake up or make eye contact......what you want is PERRL.

[sinimol]

Hallo !!! I think A stands for AND