What is an Obtunded patient


What does Obtunded mean medically?

(ob-tun-DAY-shun) A dulled or reduced level of alertness or consciousness.

Is Obtunded worse than lethargy?

Altered level of consciousnessSpecialtyPsychiatry, Neurology

What's the difference between Obtunded and lethargic?

Obtundation is sometimes defined as a moderate reduction in alertness, while lethargy is a level of consciousness marked by drowsiness, listlessness, apathy and a small reduction in alertness. More severe than just small reductions in alertness are syncope, stupor, coma and persistent vegetative state.

What causes Obtundation?

There is a huge range of potential causes including head injury, interruption of blood circulation, impaired oxygenation or carbon dioxide toxicity (hypercapnia), central nervous system (CNS) infections, drug intoxication or withdrawal, post-seizure state, hypothermia, and metabolic derangements such as hypoglycemia, …

What does Semicomatose mean?

Medical Definition of semicomatose : marked by or affected with stupor and disorientation but not complete coma a semicomatose state semicomatose patients.

What is Obtunded abdomen mean?

A distended abdomen is abnormally swollen outward. You can see and measure the difference, and sometimes you can feel it. A distended abdomen can be due to bloating from gas, or it can be due to accumulated fluid, tissue, or digestive contents. It can be chronic or acute.

How do you monitor level of consciousness?

The tool we use to assess the level of consciousness is the Glasgow Coma Scale (GCS). This tool is used at the bedside in conjunction with other clinical observations and it allows us to have a baseline and ongoing measurement of the level of consciousness (LOC) for our patients.

What is Obtunded in nursing?

Obtundation is a state similar to lethargy in which the patient has a lessened interest in the environment, slowed responses to stimulation, and tends to sleep more than normal with drowsiness in between sleep states.

What the difference between comatose and lethargic?

Level of ConsciousnessDescriptionLethargyThe patient has severe drowsiness. He/she can be aroused by moderate stimuli, but then drifts back to sleep.

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How is loc measured in nursing?

To accurately determine LOC, use objective criteria, such as eye opening, motor response, and verbalization, both spontaneously and on command. These three criteria are used in the Glasgow Coma Scale, designed primarily for patients with impaired consciousness following brain injury.

What are the 5 levels of consciousness medical?

  • Confusion. Confusion describes disorientation that makes it difficult to reason, to provide a medical history, or to participate in the medical examination. …
  • Delirium. Delirium is a term used to describe an acute confusional state. …
  • Lethargy and Somnolence. …
  • Obtundation. …
  • Stupor. …
  • Coma.

What can cause altered level of consciousness?

Altered level of consciousness (ALOC) means that you are not as awake, alert, or able to understand or react as you are normally. ALOC can be caused by a head injury, medicines, alcohol or drugs, dehydration, or some diseases, such as diabetes.

What is an Obtundent?

: blunting irritation or lessening pain. obtundent. noun. Medical Definition of obtundent (Entry 2 of 2) : an agent that blunts pain or dulls sensibility.

What causes sopor?

Sopor may be caused by a drug; such drugs are deemed soporific. A stupor is more severe than a sopor. The name is derived from Latin sopor (cognate with the Latin noun somnus and the Greek noun ὐπνος, hypnos).

Is stupor a mental illness?

What Does Stupor Mean? Stupor can be a serious mental state where people don’t respond to normal conversation. Instead, they respond only to physical stimulation, such as to pain or rubbing on their chest, which is known as a sternal rub.

Why does my stomach stick out at the bottom?

Your belly bulge may also be the result of fluid retention or abdominal separation (diastasis recti). Abdominal separation may occur during or after pregnancy. It happens when your growing uterus causes the two long muscles that run parallel in your abdomen to separate from each other.

Why is my stomach always swollen and hard?

When your stomach swells and feels hard, the explanation might be as simple as overeating or drinking carbonated drinks, which is easy to remedy. Other causes may be more serious, such as an inflammatory bowel disease. Sometimes the accumulated gas from drinking a soda too quickly can result in a hard stomach.

What is a protuberant abdomen?

Protuberant abdomen is unusual convexity of the abdomen usually caused by poor muscle tone or excessive subcutaneous fat.

What does uni mean in medical terms?

Uni- = prefix denoting one. Unilateral = in anatomy, relating to or affecting one side of the body or one side of an organ or other part. -uresis = relating to or appearing in the urine.

What does the medical term Tetra mean?

Combining form meaning four.

What does sub mean in medical terms?

Sub-: Prefix meaning meaning under, below, less than normal, secondary, less than fully. As in subacute, subaortic stenosis, subarachnoid, subclavian, subclinical disease, subcutaneous, subdural, subglottis, subjacent, sublingual, subluxation, and subtotal hysterectomy.

What does it mean when someone is lethargic?

Definition of lethargic 1 : of, relating to, or characterized by laziness or lack of energy : feeling or affected by lethargy : sluggish The patient was weak and lethargic. 2 : indifferent, apathetic The legislature was lethargic in considering the bill.

Is stupor a coma?

Consciousness is impaired to varying degrees. People in a stupor are usually unconscious but can be aroused with vigorous stimulation. People in a coma are unconscious, with their eyes closed, and they cannot be aroused. The brain damage or dysfunction that causes stupor and coma affects other parts of the body.

What does a stupor look like?

Signs and symptoms Stupor is characterised by impaired reaction to external stimuli. Those in a stuporous state are rigid, mute and only appear to be conscious, as the eyes are open and follow surrounding objects. If not stimulated externally, a patient with stupor will appear to be in a sleepy state most of the time.

Do you have a pulse when you're unconscious?

They may be unconscious for a few seconds — as in fainting — or for longer periods of time. People who become unconscious don’t respond to loud sounds or shaking. They may even stop breathing or their pulse may become faint. This calls for immediate emergency attention.

What is normal waking consciousness?

Normal waking consciousness can be loosely defined as the state of consciousness you experience when you are awake and aware of your thoughts, feelings and perceptions from internal events and the surrounding environment.

What does an AVPU check assess?

AVPU (pronounced as ave poo) or the AVPU scale — a tool used to assess the patient’s brain perfusion and function — describes a patient’s level of consciousness. All healthcare providers, including EMTs, doctors, nurses and paramedics, use AVPU to assess and monitor a patient’s brain function.

How do you know if someone is unconscious?

  1. suddenly becoming unresponsive.
  2. having a blank or confused look.
  3. feeling lightheaded or dizzy, or having trouble standing.
  4. slurring or mumbling.
  5. having a slow or rapid heartbeat.
  6. being unable to speak.
  7. having difficulty breathing.
  8. having bluish skin.

How do you assess lethargy?

  1. changes in mood.
  2. decreased alertness or decreased ability to think.
  3. fatigue.
  4. low energy.
  5. sluggishness.

How long can you be unconscious for?

It depends on the severity of the injury. If you lose consciousness briefly, and suffer a concussion, 75 to 90 percent of people will fully recover in a few months. But severe damage to the brain can cause unconsciousness for days, weeks, or even longer.