Round 1 (Altered Mental Status)

CAUTION: THESE NOTES CONTAIN SPOILERS!!! Case Introduction You are called to the resuscitation bay for a poorly responsive patient that has been brought in by EMS. Initial Vitals * Temp 98.8* HR 78* RR 4* BP 124/78* O2 98% Critical Actions * Obtain Early Blood Glucose* Administer Dextrose* Obtain Salicylate and Acetaminophen Levels* Admit for Further Observation* Psychiatry Consult Final Diagnosis Intentional Sulfonylurea Overdose Tips and Tricks All unresponsive patients should receive a blood glucose level early in the case Additional Reading * Sulfonylurea Toxicity Overview (LITFL)* Approach to Altered Mental Status (EM Clerkship)