Professional Documents
Culture Documents
Coma
Coma
Definition
• Loss of consciousness in total / almost total and can not be awakened
even if given a stimulus
• Coma is a condition such as deep sleep (deep sleep) where the
patient cannot be awakened to provide an appropriate response to
stimuli even with strong stimuli (vigourous stimulation).
Etiology
• - Metabolic disorders (uremia, hypoglycemia, hyperglycemia
and electrolyte disorders
• - Structural disorders that damage the structure relationship
between cerebral cortex and ARAS
• CONSCIOUS
• CONFUSION
• DROWSINESS
• STUPOR
• COMA
Diagnosis
• Anamnese
• Physical examination
Glasgow Coma Scale (GCS)
Best eye Best verbal Best motor
response (E) response (V) response (M)
4 Eyes opening 5 Oriented 6 Obeys commands
spontaneously
ABCs
Glucose, ABG, Lytes, Mg, Ca,
Tox, ammonia
Pseudo-Coma
Y N Psychogenic,
IV D50, narcan, Looked-in,
flumazenil
Unconscious
NM paralysis