Published Jul 10, 2013
kdneal
6 Posts
Does anyone have a guideline that they could share for using the neuroptics pupillometer? I do not have any experience with the equipment and would like to know what others do regarding frequency of use, when to call MD, etc. Any info would be appreciated!
hkulczyc
1 Post
There are articles in Pub Med if you search Pupillometery r/t ICP. You can also contact the NeuroOptics rep and they can supply you with articles or if you browse the NeuroOptic website under Critical Care you will have lots of information at your feet.
Abnormal values
CV
Pupil reactivity
NPI
Difference in pupil size fro right to left > 1 mm
Hope this helps.
bellehill, RN
566 Posts
We obtain a pupillometer reading on admission for all our neuro patients. Our protocol is to call the MD for:
NPi
%change
>1mm difference between pupils
We also trend the NPi and if there is a difference between R/L pupils of >0.7 or if the NPi has decreased by 0.7 the MD is to be called. We use the pupillometer Q4h for GCS
Thank you both for the info! I had found more detail on the neuroptics site last week-not sure how I missed it the first time. Thanks again!
jelly221,RN, MSN
309 Posts
Hi! We're looking into using these, did you ever find/develop a policy or protocol that you'd be willing to share? Thanks!
Jnurs4
19 Posts
Would be interested in the same!