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Differences between coma, vegetated stage, & brain dead. . .



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Jul 07, 2009 09:33 AM

Differences between coma, vegetated stage, & brain dead. . .

by Chapis

Hello, this is my first post here, and I have to say I LOVE allnurses/central, I've learned many things that I didn't even know.
I'm not in nursing school yet, but will be soon, there's a situation with a co-worker that has bogged my interest and need to know the difference when a pt is in a coma, a vegetated stage, and is brain dead. Is there any hope for a positive outcome when a pt is brain dead? (just to clarify since I know once bd=dead)

Thank y'all in advanced for answering my questions


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3 Comments
No. 1
from GCS15
Old Jul 07, 2009, 05:32 PM

Default Re: Differences between coma, vegetated stage, & brain dead. . .
A person is considered "in a coma" when his or her GCS is 8 or lower. The way PVS (persistent vegetative state) was explained to me is that a person is considered to be in a PVS when his or her GCS is less than 8 for 3 months or more. Brain death = GCS 3 with: absence of cerebral blood flow (via CBF scan), no primitive reflexes (corneal, gag, cough), flat EEG, negative cold calorics exam, etc. In Texas, where I practice, a person is legally dead when he or she is pronounced brain dead. Hope this helps.
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No. 2
from Chapis
Old Jul 08, 2009, 09:23 AM

Default Re: Differences between coma, vegetated stage, & brain dead. . .
What's GCS?
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No. 3
Old Jul 08, 2009, 10:33 AM

Default Re: Differences between coma, vegetated stage, & brain dead. . .
Glasgow Coma Scale.

http://www.unc.edu/~rowlett/units/scales/glasgow.htm
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