#390: MMM - Is the Patient Sleeping or Obtunded?

Straight A Nursing: Study for nursing school exams & NCLEX

Straight A Nursing

Education, Medicine, Health & Fitness

4.6 • 1.2K Ratings

🗓️ 17 February 2025

⏱️ 4 minutes

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Summary

Let's start your week strong with a quick tip you can incorporate right away. In this Mo's Monday Minute shortie episode, I'm sharing how important it is to assess level of consciousness (LOC) to ensure your patient “isn’t just sleeping.” ___________________ FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! 20 Secrets of Successful Nursing Students – Learn key strategies that will help you be a successful nursing student with this FREE guide! All Straight A Nursing Resources - Check out everything Straight A Nursing has to offer, including free resources and online courses to help you succeed! 💕Did you love this episode? Please take a moment to follow or subscribe to the show so you never miss an episode! ___________________ The information, including but not limited to, audio, video, text, and graphics contained on this podcast are for educational purposes only. No content on this podcast is intended to guide nursing practice and does not supersede any individual healthcare provider's scope of practice or any nursing school curriculum. Additionally, no content on this podcast is intended to be a substitute for professional medical advice, diagnosis or treatment. Straight a Nursing is a proud member of the Airwave Media Network. Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:46.5	Well, hello there. I'm Nurse Moe, and this is the Straight A Nursing podcast where I teach concepts and share tips on how to thrive in school and at the bedside. Welcome back to another
0:52.4	Mo's Monday Minute, quick little short episodes where I share
0:55.6	one little great piece of advice or a tip that can help impact your practice right away. So this
1:02.1	week we're talking about the age old question, is your patient sleeping or are they uptunded? So a very
1:10.8	common, unfortunately, very common scenario is you've got a patient with a COPD
1:17.4	exacerbation who initially is hypoxic and because of that very restless.
1:24.8	So I saw this many times working in the ICU with my COPD exacerbation patients.
1:30.8	The nurse would say, oh my gosh, Bob was so restless all night long. He's been taking his
1:39.1	BIPAP off or his oxygen off, trying to get out of bed, taking off his gown, pulling off his leads.
1:45.7	He pulled two IVs out.
1:47.5	We had a rough night.
1:48.8	He's finally settled.
1:50.4	Just let the poor man sleep.
1:53.3	Well, what has not probably happened is that Bob got tired and fell asleep.
1:58.2	What has likely happened is that Bob's CO2 level has continued to
2:05.3	rise as part of his COPD exacerbation and he has become hypercapnic. And as a result of that
	...

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