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skill 6: verbal instructions/findings for pupils sizes BRIGHT light - ANSWER -
Lighting: Main lights ON; Reading lamp ON and turned toward wall Equipment:
pupil measurer; transilluminator, direct with red-free filter
I'm am going to be shining this light in your eyes to measure your pupil response in
different lighting conditions. This gives me information about the connection
between your eyes and brain.
Please look at the TV screen at the end of the room.
I am now measuring pupil size of the right and left eye under bright room
illumination.
State findings: Right pupil in bright illumination is ___mm. Left pupil in bright
illumination is ___mm.
skill 6: verbal instructions/findings for pupils sizes DIM light - ANSWER -Turn
OFF main lights. Leave reading lamp ON and face towards the wall.
I am now measuring pupil size of the right and left eye under dim room
illumination. Please keep looking at the TV screen.
State findings: Right pupil in dim illumination is ___mm. Left pupil in dim
illumination is ___mm.
skill 6: verbal instructions/findings for direct response pupils - ANSWER -main
lights = OFF. reading lamp ON - facing towards wall
Grab second transilluminator if needed.
I am now measuring direct pupillary light responses. Please keep looking at the TV
screen.
State findings: The right eye shows a __+ response. The left eye shows a __+
response.
skill 6: verbal instructions/findings for consensual response pupils - ANSWER -
main lights = OFF. reading lamp ON - facing towards wall
, Grab second transilluminator if needed.
I am now measuring consensual pupillary light responses. Please keep looking at
the TV screen.
State findings: The right eye shows a __+ response. The left eye shows a __+
response.
skill 6: verbal instructions/findings for swinging response pupils - ANSWER -
main light off + reading lamp OFF + monitor OFF
I am now measuring pupil responses with the swinging flashlight technique to
check for presence of an APD. Please keep looking at the TV screen.
State findings: The pupils of both eyes constrict equally in the presence of the
light. There is no Afferent Pupillary Defect present.
skill 6: verbal instructions/findings for near pupil response - ANSWER -turn ON
main lights
Please hold your right pointer finger on my light. Illuminate pt's finger with pen
light. Look at the screen. Look back at your finger. Look at the screen. Look back
at your finger. Look at the screen. Look back at your finger.
State findings: The near pupillary responses are 4+ in the right and left eyes.
skill 7 blood pressure - ANSWER -Purpose: I am going to measure your blood
pressure. High blood pressure can affect the blood vessels in your eyes and is a risk
factor for several heart diseases.
PERFORM The arm should be supported horizontally at the level of the heart.
I would adjust the patient's sleeve in a way without compressing the artery or I
could perform the BP reading over loose or thin clothing.
I have aligned the left arrow with the brachial artery of the left arm, with the cuff
above the patient's elbow.
The earpieces of the stethoscope are pointing forward, away from me.
I am placing the diaphragm of the stethoscope over the patient's brachial artery.
I am increasing the pressure to about 180mmHg (200 maximum).
I am reducing the pressure at a slow and steady rate of about 2-3mmHg per second.
Systolic Finding is: __mmHg Diastolic Finding is: __mmHg
Remove cuff from patient's arm.