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)