In an unconscious patient, eye movements are tested by the oculocephalic response. Which statements regarding the testing of this reflex are true? (Select all that apply.)
a. Doll's eyes absent indicate a disruption in normal brainstem processing.
b. Doll's eyes present indicate brainstem activity.
c. Eye movement in the opposite direction as the head when turned indicates an intact reflex.
d. Eye movement in the same direction as the head when turned indicates an intact reflex.
e. Increased intracranial pressure (ICP) is a contraindication to the assessment of this reflex.
f. Presence of cervical injuries is a contraindication to the assessment of this reflex.
A, B, C, E, F
In unconscious patients with stable cervical spine, assess oculocephalic reflex (doll's eye): turn the patient's head quickly from side to side while holding the eyes open. Note movement of eyes. The doll's eye reflex is present if the eyes move bilaterally in the opposite direction of the head movement.
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