[1]Han JH, Wilber ST. Altered mental status in older patients in the emergency department. The obtunded patient is at a higher level of severity and will need repeated stimuli to awaken. (pathology) A condition characterized by extreme fatigue or drowsiness, or prolonged sleep patterns. Often, an altered LOC can deteriorate rapidly from one stage to the next. [3]Xiao HY, Wang YX, Xu TD, et al. Create your account. Lethargic vs. Somnolent - What's the difference? | Ask Difference (ob-tun-DAY-shun) Words like lethargy, obtunded, and stupor all describe various degrees to which a patients arousal is impaired. At 0900, you bring in your patients medications. Ok technically your patient would be classified as semi comatose or possibly in a stupor. Clin Geriatr Med. Obtunded vs Lethargic Lethargy is a level of consciousness less severe than obtunded. Ready? [10], The Grady Coma Scale classes people on a scale of I to V along a scale of confusion, stupor, deep stupor, abnormal posturing, and coma. She earned her BS in Biology and MD in Medicine from the University of Iowa in 1998. i have only ever seen the descriptors used in a handful of books - they have long been replaced with the glascow coma scale simply because they were too confusing. Level of Consciousness (LOC) Medical Term Meaning - Verywell Health allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 Delirium has a sudden onset and is reversible. Nervous system examination Flashcards | Quizlet In select groups consider vitamin B12 levels. [1] A mildly depressed level of consciousness or alertness may be classed as lethargy; someone in this state can be aroused with little difficulty. [11] Mass lesions that occur above the tentorium cerebelli normally do not significantly alter the level of consciousness unless they are very large or affect both cerebral hemispheres.[9]. There is a spectrum of impaired consciousness that goes from full arousal to complete unresponsiveness. In report you learn the following about your patient: 56 year old female with CKD stage 4, CHF, DM2, and hyperlipidemia.
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