Published Feb 14, 2008
hotshot12345
55 Posts
so i have a pt this has a traumatic brain injury (pedestrian vs car). he is on a trach, PEG tube, craniectomies. he is completely dependent. he open his eyes spontaneously but does not look at anyone in particular. so what would I could this pt, vegetative?
cardiacRN2006, ADN, RN
4,106 Posts
Is he responsive to painful/obnoxious stimuli?
UM Review RN, ASN, RN
1 Article; 5,163 Posts
Check his responses on the Glasgow coma scale.
http://en.wikipedia.org/wiki/Glasgow_Coma_Scale
definitely a 3 on the GCS
No, he's not a 3 on the GCS if he opens his eyes spontaneously...
whoops. i mean when he was first admitted, he was a 3. i would say a 7.
Did you test him for a response to painful stimuli or are you just assumming that he has no response?
If he responds to pain then I would say he's awake and responsive only to painful stimuli...