How to approach a unconscious elderly patient? Dr Abhishek Shukla Aastha Old Age Home скачать в хорошем качестве

How to approach a unconscious elderly patient? Dr Abhishek Shukla Aastha Old Age Home

Today, the students were taught about the reasons or possibilities of unconsciousness in a patient and how to assess such cases. The first step in evaluating an unconscious patient is to check for any response by applying peripheral pain, such as pressing a nail bed or squeezing a finger, to see if the patient reacts. The patient in question was in an altered sensorium, meaning that their level of consciousness was impaired, and they were unable to think clearly or respond appropriately. The first step was to check the patient's medical history to help determine the possible causes. Four key possibilities were discussed: Uremic Encephalopathy: This occurs in patients with Chronic Kidney Disease (CKD) and renal failure, where high levels of urea and creatinine accumulate in the blood, leading to toxic effects on the brain and causing unconsciousness. Hepatic Encephalopathy: This is another possible cause, where liver failure leads to the buildup of toxins, particularly ammonia, which can affect brain function and result in altered sensorium or unconsciousness. Septicemia and Sepsis: A severe infection in the body can spread into the bloodstream, causing septicemia, which may progress to sepsis, a life-threatening condition that can cause unconsciousness due to organ failure and low blood pressure. Subdural Hematoma: A brain bleed, particularly a subdural hematoma, can occur due to trauma or other factors, leading to pressure on the brain and unconsciousness. Based on the patient's medical history, treatment is tailored to address each of these possibilities. By ruling out or treating the suspected cause, the healthcare team works to find the proper cause of the unconsciousness*and determine the most effective treatment plan. #AasthaCares #lminp #Unconsciousness #CKD #UremicEncephalopathy #HepaticEncephalopathy #Septicemia #SubduralHematoma #MedicalAssessment