Dec 13, 2012 · When you assess pupils, the light should elicit a quick (brisk) response by shrinking. Sluggish reaction is just what it sounds like... Slow to react. Fixed pupils shows no reaction= no bueno. Be sure to look up what pupillary response actually means in the brain, it's fascinating! (Neuro nurse here, kind of biased!) Specializes in critical care.

Jul 25, 2023 · A normal, healthy adult patient is expected to have a 4+ response, which indicates a brisk, large response. A 3+ grading indicates a moderate response, 2+ is a small, slowed response, 1+ represents a tiny/just visible response, and a 0 indicates unresponsive pupils.

Latency, followed by the constriction velocity, was felt by PICU nurses to be the most important characteristic of the PLR that results in terms "brisk" or "sluggish" being used at the bedside to describe a PLR. We plan to compare these subjective …

By automatically deriving whether the PLR falls within the normal (“brisk”) range (NPi > 3.0), the abnormal (“sluggish”) range (NPi < 3.0) or is “atypical”, “immeasurable” or “non-reactive” (NPi=0), the NPi Pupillometer provides a reliable and accurate way to quantify and trend pupillary response, offering increased ...

Normal response: contraction of the contralateral pupil when light shone in one eye which should be approximately equal in velocity and extent to the direct pupillary response. Record the speed of reaction: brisk, sluggish, or fixed

Dec 14, 2021 · When light is shone to the unaffected eye, both consensual and direct reflex will be present and when it will be shone to affected eye both the pupil will dilate. It can easily be detected with swing flash test.

Jul 15, 2008 · Pupil reaction should be documented as per local policy, for example B (brisk), S (sluggish) or N (no reaction). Both pupils should react equally to light. Unreactive pupils can be caused by an expanding mass, for example a blood clot exerting pressure on the third cranial nerve; a fixed and dilated pupil may be due to herniation of the medial ...

Identifying an acute brain injury in patients with trauma requires serial neurologic examinations, including pupil-lary assessments, a CT scan, and possibly a magnetic reso-nance imaging. As depicted in the case study, evidence of TBI may be present in the initial neurologic examination performed at the scene.

The immediate behavior of each pupil when illuminated is noted and compared to that of the fellow eye. The normal reaction is brisk constriction (normal). Pupil constriction that is consistently less brisk in one eye than the other eye is abnormal, and considered an RAPD.

Nov 22, 2023 · Pupil evaluation includes assessment of pupil size, shape, and equality before and after exposure to light. Pupil abnormalities may assist in the local diagnosis of comatose patients.