The pupillary response in traumatic brain injury: a guide for trauma nurses.
Trarumatic brain injuries (TBIs) affect more than 1.4 million Americans annually. Trauma nurses caring for these patients routinely perform serial neurologic assessments, including pupillary examinations. While trauma nurses are likely familiar with basic components of the pupillary examination, some confusion about more specific aspects of the examination and the physiologic basis of the pupillary response may still remain, particularly as it pertains to patients with TBI. Therefore, the purpose of this article is to identify the key components of a pupillary examination and its associated physiologic response. A case study is provided to illustrate the application of this information among patients with TBI.
Adoni
Andea
A
Cleveland Metro LifeFlight, MetroHealth Medical Center, OH 44109, USA. aadoni@metrohealth.org
McNett
Molly
M
D000221:Adaptation, Ocular / Q000502:physiology; D001930:Brain Injuries / Q000150:complications / Q000451:nursing* / Q000503:physiopathology; D003391:Cranial Nerves / Q000503:physiopathology; D015600:Glasgow Coma Scale; D006732:Horner Syndrome / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D015877:Miosis / Q000175:diagnosis / Q000209:etiology; D015878:Mydriasis / Q000175:diagnosis / Q000209:etiology; D009460:Neurologic Examination / Q000379:methods / Q000451:nursing; D024802:Nurse's Role; D009730:Nursing Assessment / Q000379:methods*; D010275:Parasympathetic Nervous System / Q000503:physiopathology; D011681:Pupil Disorders / Q000175:diagnosis / Q000209:etiology; D012025:Reflex, Pupillary / Q000502:physiology; D013564:Sympathetic Nervous System / Q000503:physiopathology