Determine whether the patient is getting better, becoming worse, or responding to therapy by keeping an eye on the AVPU as well as other vital signs.
Different ALOC levels include: Lethargic refers to being sleepy, uninterested in, or less conscious of your surroundings. If nothing or no one wakes you up, you are somnolent, which indicates you are sleeping. You can typically communicate and follow instructions, although you could have a hard time sleeping.
alert: conscious and receptive. Noting that disorientation can appear anytime somewhere along spectrum and isn't always present before the patient becomes drowsy, lethargic, etc., is important. It is feasible to treat patients who are alert but sleepy or even lethargic.
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