Coma Study Notes | Western Sydney University - Edubirdie

University:
Western Sydney University
Course:
MEDI 2003 | Clinical Sciences 2
Academic year:

2024
Views:

103

Pages:

2
Author:

Mariam A. A.

COMA symptom NOI a diagnosis Causes of COMA TIME SHOCK *Trauma * Infections Meningins Encephalitis * Metabolic hypoglycemia, DKA, inborn errors of metabolism * Electrolytes Nat, Nat, acidosis * Seizures esp. epilelic seizures * Нуроχία * Cuerdose drugs, pasons, alkohol * CNS structural abnormalitie →eg. tumurs * kermiderus Immediate Management * ABCDE resus → assess½ monitor pulse, RR, BP, temperatue, oximery, EEG * if traumatic cause suspected immobilise cervical spine + arrange neurosurgery * insest (V line ye perform glucose of hypoglycemic in a non-dicebelic pt give IV dextrose * if cause is nacrodic-induced resp½ CNS depressi on →consider IV naloxone Cama flow chart management Papilloedema? YES NO YES focal neurological features or focal seizures NO Presentation is after seizure? early Yes NO Squeeze ear lobe as had ces can for upto (minute rousable to full Consciousness? NO YES age >23 with a definute neck shithness No focal siges * NOLP * Give cefotaxime * LP for diagnosis ance consciouss Perform LP * no LP * if febrile acyclovirz cefotaxime → consider Ctor MRI * if NOT febrile→ MRIICT, consider EEG, if results ar featues suggest infection or diagnoso if febrile give I dose of paracetamol unclear give acylovic zlor cefhomaxine NO Improvement in conscious stale each hour & full recovery of consciouss with 6 hrs YES * no LP depending on results give aciclovir/cefotaxime * no aciclovir cefotaxime with focal signs * No LP unhl consciousss * live aciclovir cefotaxime * consider MRI/CT, GEG

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