No Coma,No Glasgow - page 5

The Glasgow Coma Scale was designed to measure the depth of Coma. This means that a person must already be in a Coma prior to the test administration. When we have a new admit, The Glasgow is on our... Read More

  1. by   ZippyGBR
    Quote from ohbet
    A and O x 3 can still be nero impaired? Well thank you,I learned something new today.

    CVA patients, people with a spinal cord injury or a neurological condition ...
  2. by   ZippyGBR
    Quote from ohbet
    Its ludicrous to be checking pupils on a person who is alert,as fixed and dialated is a very late sign of neuo-impairment.No matter,I was taught in school to check pupils on our alert patients.
    I hope someone is not going to tell me that alert and oriented patients can have fixed and dialated pupils,please God
    tell me what other things can be determined from looking at a patient's pupils ...

    what are the pupils like someone who is intoxicated with alcohol, what are hte pupils like with someone who has had excessive opiates ...

    why might we be interested in differences between pupils in someone with a head injury or facial trauma ?
  3. by   canoehead
    Is this a quiz?

    It doesn't hurt anyone, including the patient, if the nurse writes GCS 15 on the chart, so why make a big deal about it?

    I've started GCSing lots of people in the ER who ended up not needing that type of monitering. Just like I've written "moves 4limbs" when they weren't paraplegic- it's a baseline.
  4. by   BluegrassRN
    Old thread, people, old thread.

    Interesting topic for discussion, but no need to worry about ohbet's indignation or frustration, he/she hasn't been around for years.
  5. by   netglow
    Ha, just noticed that, LOL! Zippy you were totally covering the bases tho!

    Seriously GCS is not even an effort, no biggie. I do an entire assessment anyway. I don't care if the facility (computer charting) wants less. Who cares I do what I want to do.

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