Clinical Scenarios: ALTERED MENTAL STATUS

  • Questions:
  •     - Current state of consciousness
  •     - Baseline mental status
  •     - EtOH/drug use history
  •     - Current medications
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  • Workup:
  •     - Finger-Stick Glucose
  •     - BMP
  •     - CBC
  •     - ABG
  •     - PTT/PT/INR
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  • Goals of Management:
  • Identify/Treat Reversible Causes: NGT
  •     - Naloxone 0.2 – 0.4mg IV
  •     - D50 50mL IV
  •     - Thiamine 100mg IV
  • Identify life-threatening underlying causes:
  •     - Infection
  •     - Toxic/metabolic
  •     - Acidosis, hypoxia
  • Determine if patient is stable on the floor