Of blown pupils and brain waves

Nurses General Nursing

Published

A friend across the country called me the other day and her dad apparently had a massive MI. He called out, she found him on the floor. He was subsequently Coded, given bicarb (sounds like it might've been a long Code).

He's in ICU and on a vent.

She said that the neuro doc says that her dad has no brain wave activity. She insists no EEG has been done, and that she's sure because someone's been by his side since the incident.

So I'm guessing that the neuro doc is seeing blown pupils.

My question is--if someone is heavily sedated from being on a vent, do their pupils react normally? Have you ever seen a change in that status?

I don't want my friend to hope for results that cannot be realistically achieved. I met her dad a couple of times and really liked him. He'd want nothing less than the truth.

Generally sedated patients have smaller pupils because of the effects of benzos or whatever they are on. Dilated pupils are never a good sign because cranial nerves are unforgiving especially after cardiac arrest. best wishes.

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