SlideShare a Scribd company logo
1 of 34
Management of Coma and Altered Sensorium
Why coma management?  ,[object Object],[object Object],[object Object]
Check vital signs  ,[object Object],[object Object],[object Object]
Emergency treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Maintain ventilation ,[object Object],[object Object],[object Object],[object Object]
Draw Blood for  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Maintain circulation ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Control Seizure ,[object Object],[object Object],[object Object],[object Object],[object Object]
Reduce intracranial pressure ,[object Object],[object Object]
Maintain Temperature ,[object Object],[object Object]
Is it Coma ? ,[object Object],[object Object],[object Object]
Psychogenic coma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Spectrum of Coma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What causes coma? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolic encephalopathy   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Supratentorial Lesions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Infratentorial Lesions ,[object Object],[object Object],[object Object],[object Object],[object Object]
History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Other symptoms of coma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Examination ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Neurological examination ,[object Object],[object Object],[object Object],[object Object],[object Object]
Circulation ,[object Object]
Breathing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Breathing in coma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pupil ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Eye movement   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Eye movements in Coma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Posture ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
ECG changes in coma ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Further investigation ,[object Object],[object Object],[object Object],[object Object]
Agitated  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Agitated patient  ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Coma Subsequent management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Thank You

More Related Content

What's hot

Approach to coma
Approach to comaApproach to coma
Approach to coma
PS Deb
 
Cerebellar syndromes
Cerebellar syndromesCerebellar syndromes
Cerebellar syndromes
PS Deb
 
Sensory ataxia
Sensory ataxiaSensory ataxia
Sensory ataxia
Susanth Mj
 

What's hot (20)

Approach to coma
Approach to comaApproach to coma
Approach to coma
 
Approach to the Comatose patient
Approach to the Comatose patientApproach to the Comatose patient
Approach to the Comatose patient
 
Diffuse axonal injury
Diffuse axonal injuryDiffuse axonal injury
Diffuse axonal injury
 
Sub acute combined degeneration of spinal cord mathematical approach
Sub acute combined degeneration of spinal cord mathematical approachSub acute combined degeneration of spinal cord mathematical approach
Sub acute combined degeneration of spinal cord mathematical approach
 
Coma final
Coma finalComa final
Coma final
 
Neurogenic Pulmonary Edema
Neurogenic Pulmonary EdemaNeurogenic Pulmonary Edema
Neurogenic Pulmonary Edema
 
quadriparesis approach -ppt.pptx
quadriparesis approach -ppt.pptxquadriparesis approach -ppt.pptx
quadriparesis approach -ppt.pptx
 
An approach to an unconscious patient
An approach to an unconscious patientAn approach to an unconscious patient
An approach to an unconscious patient
 
coma
comacoma
coma
 
Ataxia 130514030409-phpapp01
Ataxia 130514030409-phpapp01Ataxia 130514030409-phpapp01
Ataxia 130514030409-phpapp01
 
Hemorrhagic stroke
Hemorrhagic stroke Hemorrhagic stroke
Hemorrhagic stroke
 
Cerebellar syndromes
Cerebellar syndromesCerebellar syndromes
Cerebellar syndromes
 
Approach to ataxia
Approach to ataxiaApproach to ataxia
Approach to ataxia
 
Transverse myelitis
Transverse myelitisTransverse myelitis
Transverse myelitis
 
Evaluation of autonomic nervous system
Evaluation of autonomic nervous systemEvaluation of autonomic nervous system
Evaluation of autonomic nervous system
 
Sensory ataxia
Sensory ataxiaSensory ataxia
Sensory ataxia
 
Coma
ComaComa
Coma
 
Approach to leukodystrophy
Approach to leukodystrophyApproach to leukodystrophy
Approach to leukodystrophy
 
Coma
ComaComa
Coma
 
Approach to dystonia
Approach to dystoniaApproach to dystonia
Approach to dystonia
 

Viewers also liked

Alteration Of Consciousness
Alteration Of ConsciousnessAlteration Of Consciousness
Alteration Of Consciousness
med
 
Assessment of an unconscious/comatose patient
Assessment of an unconscious/comatose patientAssessment of an unconscious/comatose patient
Assessment of an unconscious/comatose patient
meducationdotnet
 
Management of coma
Management of comaManagement of coma
Management of coma
PS Deb
 
N207 self care deficit blog
N207 self care deficit blogN207 self care deficit blog
N207 self care deficit blog
melaniecerezo
 
Presentation by dr. mottalib
Presentation by dr. mottalibPresentation by dr. mottalib
Presentation by dr. mottalib
Mottalib Sarker
 
FA: Consciousness
FA: ConsciousnessFA: Consciousness
FA: Consciousness
MUBOSScz
 
Altered Loc
Altered LocAltered Loc
Altered Loc
mycomic
 

Viewers also liked (20)

Altered sensorium
Altered sensorium Altered sensorium
Altered sensorium
 
Altered level of consciousness
Altered level of consciousnessAltered level of consciousness
Altered level of consciousness
 
Alteration Of Consciousness
Alteration Of ConsciousnessAlteration Of Consciousness
Alteration Of Consciousness
 
Altered sensorium Case 2014
Altered sensorium Case 2014Altered sensorium Case 2014
Altered sensorium Case 2014
 
Assessment of an unconscious/comatose patient
Assessment of an unconscious/comatose patientAssessment of an unconscious/comatose patient
Assessment of an unconscious/comatose patient
 
Coma 1st Aid by Dr.Mohamed El-Abiad
Coma 1st Aid by Dr.Mohamed El-AbiadComa 1st Aid by Dr.Mohamed El-Abiad
Coma 1st Aid by Dr.Mohamed El-Abiad
 
Unconsciousness presentation 1
Unconsciousness presentation 1Unconsciousness presentation 1
Unconsciousness presentation 1
 
General approach and differential diagnosis of coma
General approach and differential diagnosis of comaGeneral approach and differential diagnosis of coma
General approach and differential diagnosis of coma
 
Management of coma
Management of comaManagement of coma
Management of coma
 
Pediatric Coma
Pediatric ComaPediatric Coma
Pediatric Coma
 
Comatose patient case discussion
Comatose patient case discussionComatose patient case discussion
Comatose patient case discussion
 
Top 8 diversional therapist resume samples
Top 8 diversional therapist resume samplesTop 8 diversional therapist resume samples
Top 8 diversional therapist resume samples
 
N207 self care deficit blog
N207 self care deficit blogN207 self care deficit blog
N207 self care deficit blog
 
Altered Consciousness
Altered Consciousness Altered Consciousness
Altered Consciousness
 
comatosed patient
comatosed patientcomatosed patient
comatosed patient
 
Presentation by dr. mottalib
Presentation by dr. mottalibPresentation by dr. mottalib
Presentation by dr. mottalib
 
FA: Consciousness
FA: ConsciousnessFA: Consciousness
FA: Consciousness
 
Coma usmf
Coma   usmfComa   usmf
Coma usmf
 
Altered Loc
Altered LocAltered Loc
Altered Loc
 
Coma Bp
Coma BpComa Bp
Coma Bp
 

Similar to Management of coma and altered sensorium 19.4.01

NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
Nurse ReviewDotOrg
 
Cerebrovascular Disease
Cerebrovascular DiseaseCerebrovascular Disease
Cerebrovascular Disease
mycomic
 
Cardiac lecture pediatrics fall 2012
Cardiac lecture pediatrics fall 2012 Cardiac lecture pediatrics fall 2012
Cardiac lecture pediatrics fall 2012
JHU Nursing
 

Similar to Management of coma and altered sensorium 19.4.01 (20)

NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
 
Medical Emergencies in the Dental Office
Medical Emergencies in the Dental OfficeMedical Emergencies in the Dental Office
Medical Emergencies in the Dental Office
 
Approach to stupor and coma
Approach to stupor and comaApproach to stupor and coma
Approach to stupor and coma
 
approach to neurologic illness in medical ICU
approach to neurologic illness in medical ICUapproach to neurologic illness in medical ICU
approach to neurologic illness in medical ICU
 
Syncope iman
 Syncope iman Syncope iman
Syncope iman
 
Cerebrovascular Disease
Cerebrovascular DiseaseCerebrovascular Disease
Cerebrovascular Disease
 
[Int. med] cerebrovascular accident from SIMS Lahore
[Int. med] cerebrovascular accident from SIMS Lahore[Int. med] cerebrovascular accident from SIMS Lahore
[Int. med] cerebrovascular accident from SIMS Lahore
 
Heart failure.pptx
Heart failure.pptxHeart failure.pptx
Heart failure.pptx
 
Cnv disorders
Cnv disordersCnv disorders
Cnv disorders
 
What you should know about Intracranial pressure
 What you should know about Intracranial pressure What you should know about Intracranial pressure
What you should know about Intracranial pressure
 
Neurology
NeurologyNeurology
Neurology
 
Obstructive sleep apnoea and Intensive care
Obstructive sleep apnoea and Intensive careObstructive sleep apnoea and Intensive care
Obstructive sleep apnoea and Intensive care
 
26 USCardio (1).ppt
26 USCardio (1).ppt26 USCardio (1).ppt
26 USCardio (1).ppt
 
Cardiac lecture pediatrics fall 2012
Cardiac lecture pediatrics fall 2012 Cardiac lecture pediatrics fall 2012
Cardiac lecture pediatrics fall 2012
 
HIE Birth asphyxia in Neonates
HIE Birth asphyxia in NeonatesHIE Birth asphyxia in Neonates
HIE Birth asphyxia in Neonates
 
Evaluation & Management Of Child With Arrhythmias
Evaluation & Management Of Child With ArrhythmiasEvaluation & Management Of Child With Arrhythmias
Evaluation & Management Of Child With Arrhythmias
 
Recognition of a sick child
Recognition of a sick childRecognition of a sick child
Recognition of a sick child
 
Cerebrovascular Accident
Cerebrovascular AccidentCerebrovascular Accident
Cerebrovascular Accident
 
Mark O
Mark OMark O
Mark O
 
Syncope ppt
Syncope pptSyncope ppt
Syncope ppt
 

More from PS Deb

Motivating hospital workers
Motivating hospital workersMotivating hospital workers
Motivating hospital workers
PS Deb
 
Brain stem 2014
Brain stem 2014Brain stem 2014
Brain stem 2014
PS Deb
 
Chorea and ballismus
Chorea and ballismusChorea and ballismus
Chorea and ballismus
PS Deb
 

More from PS Deb (20)

Lead poisoning in neurology
Lead poisoning in neurologyLead poisoning in neurology
Lead poisoning in neurology
 
Spinal cord disorders Anatomical Approach
Spinal cord disorders Anatomical ApproachSpinal cord disorders Anatomical Approach
Spinal cord disorders Anatomical Approach
 
Should we allow natural death?
Should we allow natural death?Should we allow natural death?
Should we allow natural death?
 
Chronic progressive external ophthalmoplegia
Chronic progressive external ophthalmoplegiaChronic progressive external ophthalmoplegia
Chronic progressive external ophthalmoplegia
 
Motivating hospital workers
Motivating hospital workersMotivating hospital workers
Motivating hospital workers
 
Brain stem 2014
Brain stem 2014Brain stem 2014
Brain stem 2014
 
Muscle tone
Muscle toneMuscle tone
Muscle tone
 
Cerebellum Anatomy and Physiology
Cerebellum Anatomy and PhysiologyCerebellum Anatomy and Physiology
Cerebellum Anatomy and Physiology
 
Corticospinal system
Corticospinal system Corticospinal system
Corticospinal system
 
Motor paralysis clinical
Motor paralysis clinical Motor paralysis clinical
Motor paralysis clinical
 
Basal Ganglia Clinical Anatomy Physiology
Basal Ganglia Clinical Anatomy PhysiologyBasal Ganglia Clinical Anatomy Physiology
Basal Ganglia Clinical Anatomy Physiology
 
Myoclonus
MyoclonusMyoclonus
Myoclonus
 
Athetosis and dystonia
Athetosis and dystoniaAthetosis and dystonia
Athetosis and dystonia
 
Tic disorder
Tic disorderTic disorder
Tic disorder
 
Chorea and ballismus
Chorea and ballismusChorea and ballismus
Chorea and ballismus
 
Management of Tremor
Management of Tremor Management of Tremor
Management of Tremor
 
Hypertension and stroke
Hypertension and stroke Hypertension and stroke
Hypertension and stroke
 
Rapidly Progressive Fatal Neuromyositis
Rapidly Progressive Fatal Neuromyositis Rapidly Progressive Fatal Neuromyositis
Rapidly Progressive Fatal Neuromyositis
 
Stroke management
Stroke management Stroke management
Stroke management
 
Neurologic manifestation of HIV/AIDS
Neurologic manifestation of HIV/AIDSNeurologic manifestation of HIV/AIDS
Neurologic manifestation of HIV/AIDS
 

Recently uploaded

Sonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptxSonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptx
palsonia139
 
Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...
Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...
Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...
Abortion pills in Kuwait Cytotec pills in Kuwait
 

Recently uploaded (20)

Tips to Choose the Best Psychiatrists in Indore
Tips to Choose the Best Psychiatrists in IndoreTips to Choose the Best Psychiatrists in Indore
Tips to Choose the Best Psychiatrists in Indore
 
Bangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door Step
Bangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door StepBangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door Step
Bangalore whatsapp Number Just VIP Brookefield 100% Genuine at your Door Step
 
PYODERMA, IMPETIGO, FOLLICULITIS, FURUNCLES, CARBUNCLES.pdf
PYODERMA, IMPETIGO, FOLLICULITIS, FURUNCLES, CARBUNCLES.pdfPYODERMA, IMPETIGO, FOLLICULITIS, FURUNCLES, CARBUNCLES.pdf
PYODERMA, IMPETIGO, FOLLICULITIS, FURUNCLES, CARBUNCLES.pdf
 
Denture base resins materials and its mechanism of action
Denture base resins materials and its mechanism of actionDenture base resins materials and its mechanism of action
Denture base resins materials and its mechanism of action
 
Treatment Choices for Slip Disc at Gokuldas Hospital
Treatment Choices for Slip Disc at Gokuldas HospitalTreatment Choices for Slip Disc at Gokuldas Hospital
Treatment Choices for Slip Disc at Gokuldas Hospital
 
Cas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best suppler
Cas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best supplerCas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best suppler
Cas 28578-16-7 PMK ethyl glycidate ( new PMK powder) best suppler
 
Hemodialysis: Chapter 1, Physiological Principles of Hemodialysis - Dr.Gawad
Hemodialysis: Chapter 1, Physiological Principles of Hemodialysis - Dr.GawadHemodialysis: Chapter 1, Physiological Principles of Hemodialysis - Dr.Gawad
Hemodialysis: Chapter 1, Physiological Principles of Hemodialysis - Dr.Gawad
 
Tissue Banking and Umbilical Cord Blood Banking
Tissue Banking and Umbilical Cord Blood BankingTissue Banking and Umbilical Cord Blood Banking
Tissue Banking and Umbilical Cord Blood Banking
 
Case presentation on Antibody screening- how to solve 3 cell and 11 cell panel?
Case presentation on Antibody screening- how to solve 3 cell and 11 cell panel?Case presentation on Antibody screening- how to solve 3 cell and 11 cell panel?
Case presentation on Antibody screening- how to solve 3 cell and 11 cell panel?
 
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
TEST BANK For Huether and McCance's Understanding Pathophysiology, Canadian 2...
 
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS by Dr M.KARTHIK EMMANUEL
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS  by Dr M.KARTHIK EMMANUELCONGENITAL HYPERTROPHIC PYLORIC STENOSIS  by Dr M.KARTHIK EMMANUEL
CONGENITAL HYPERTROPHIC PYLORIC STENOSIS by Dr M.KARTHIK EMMANUEL
 
Integrated Neuromuscular Inhibition Technique (INIT)
Integrated Neuromuscular Inhibition Technique (INIT)Integrated Neuromuscular Inhibition Technique (INIT)
Integrated Neuromuscular Inhibition Technique (INIT)
 
Sonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptxSonia Journal club presentation (2).pptx
Sonia Journal club presentation (2).pptx
 
Video capsule endoscopy (VCE ) in children
Video capsule endoscopy (VCE ) in childrenVideo capsule endoscopy (VCE ) in children
Video capsule endoscopy (VCE ) in children
 
Quality control tests of suppository ...
Quality control tests  of suppository ...Quality control tests  of suppository ...
Quality control tests of suppository ...
 
Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...
Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...
Best medicine 100% Effective&Safe Mifepristion ௵+918133066128௹Abortion pills ...
 
The Clean Living Project Episode 24 - Subconscious
The Clean Living Project Episode 24 - SubconsciousThe Clean Living Project Episode 24 - Subconscious
The Clean Living Project Episode 24 - Subconscious
 
Sell pmk powder cas 28578-16-7 from pmk supplier Telegram +85297504341
Sell pmk powder cas 28578-16-7 from pmk supplier Telegram +85297504341Sell pmk powder cas 28578-16-7 from pmk supplier Telegram +85297504341
Sell pmk powder cas 28578-16-7 from pmk supplier Telegram +85297504341
 
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
NDCT Rules, 2019: An Overview | New Drugs and Clinical Trial Rules 2019
 
Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالة
Gallbladder Double-Diverticular: A Case Report  المرارة مزدوجة التج: تقرير حالةGallbladder Double-Diverticular: A Case Report  المرارة مزدوجة التج: تقرير حالة
Gallbladder Double-Diverticular: A Case Report المرارة مزدوجة التج: تقرير حالة
 

Management of coma and altered sensorium 19.4.01

  • 1. Management of Coma and Altered Sensorium
  • 2.
  • 3.
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25.
  • 26.
  • 27.
  • 28.
  • 29.
  • 30.
  • 31.
  • 32.
  • 33.