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Everyone its sarah with registered nurse orient comm and in this video. Werere going to talk about how to check the pupils with a pin light so youre doing your assessments on your patients youll want to be checking neuro status and one thing that i think is nurses. We under use our pin lights these things are cheap you can get disposable ones you can get ones that take batteries they are so handy especially when checking those pupil reflexes.
So in this video. Im going to go over how you do that and im going to actually show you how to check pupils on a patient. So lets get started.
Whenever youre using your pin light. I recommend that you get you a good pin line. That shows has a little gauge thing you can go by that shows you the size of what pupils are because that will help you when youre gauging the size of your pupils.
A normal size of a pupil is anywhere from three to five millimeters and the shape you want them to be round. And what youre going to be looking for whenever youre shining. This pin light.
Youre going to be looking for a direct response and a consensual response. The direct response is when you shine light into one eye. And youre looking specifically at that pupil to see if it constricts and how well it does then when youre doing consensual youre going to go in and youre going to look at the opposite eye and make sure that those two pupils are constricting simultaneously together.
So youre looking at two things. Direct and consensual then in order to do that you want to have the room.
Dim and you want your pin light. Then youll want to look at accommodation. This is where you have the eyes fixated on something in front of the patient you can use your finger you can use the pin light.
Whatever you want to do and youre going to slowly move it towards the patients face and youre going to look at those pupils. See how well theyre fixating on the object are they doing it together and are those pupils constricting and has the object moves closer then after you get done with that you can document as we know in the nursing world perrla. Which means pupils equal round reactive to light and accommodation or knighting.
So lets actually see this skill in use okay. Were going to use our pin light. And we are going to be looking for a direct response.
Which means whenever we shine light into the eye were shining light. Were looking at the pupil to see if it constricts and were also going to look for consensual response. When we shine light into this side and were seeing if this pupil constricts simultaneously with this eye.
Then were going to look at accomodation response. Whenever the patient fixates themselves on an object far away. And we see how well their pupils.
Respond. Whenever the objects move closer to them.
So lets get started the very first thing we want to do is we want to look at the eyes and we want to see look at the pupils and see how round they are make sure theyre equal and the size of them and on your pin light you have little sizes and usually normal sizes of pupils are 3 to 5 millimeters and our patient here size of his pupil is about a 5 and whenever youre checking for a direct and consensual response. You want to dim. The lights like this and what you want to do is you begin by shining.
The light in one eye. And youre looking at the response of the pupil and as you can tell his pupil dilates. Very nicely and briskly thats the direct response now were going to look in this opposite eye.
Whenever i shine light into this eye and see how this pupil responds. So lets do that his pupil responds just like the direct response. It constricts and it dilates back.
Normally and you want to shine it in both eyes just back and forth you can also do whats called the flash. I mean the swinging test with this and what you do is you swing the lie in between the two eyes every 2 to 3 seconds. Like this and youre just watching for pupil response you get the same reaction now lets look at accommodating response.
And what were going to have him do is were going to hold the object about a couple feet away from his face. And im going to bring it in slowly close to his nose and have him fixate on the object. And were going to watch his pupils to see how they accommodate to that and his pupils accommodate appropriately now what you will document is that its perrla.
Which means pupils are equal round reactive to light and has accomodation so that is how you check a pupil reflex. I hope this video helped you out be sure to check out my other nursing skills videos and subscribe to this youtube channel. And thank you so much for watching.
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