Resources and Memory //

with altered mental status and ingestion of multiple medications as above_. Patient appearing dry (dry MM, anhidrotic), tachycardic (sinus on EKG with largely normal intervals), flushed peripherally with mydriasis and delirium with high suspicion for anticholinergic component, potentially from _. Given hyperpyrexia, likely secondary to anhydrotic hyperthermia and less likely encephalitis or CNS infection given exam and history, will start with evaporative cooling measures. Given myoclonus and agitation, will give benzodiazepines, which will also aid to prevent seizures secondary to possible sodium channel blockade (no electrocardiographic evidence thus far) or alcohol withdrawal. Will place foley given AMS and possible urinary retention. Given AMS and unclear history, will obtain CT brain and C-spine to evaluate for ICH_. Given limited exam, will obtain XR chest to evaluate for concretions_. Given likely intentional overdose, will check acetaminophen level and provide sitter with medical detainment until formal psychiatric evaluation_. Accucheck, Chem 7, and CBC to evaluate for possible metabolic perturbances_. Seizure precautions for possible alcohol withdrawal and monitor for respiratory and mental status for _ overdose. Given temporal nature of ingestion and AMS, no acute indication for whole bowel irrigation or charcoal. Finally, will contact poison control; continue fluid rehydration, trend CK given period of immobilization_. Reassess.



[Back to Main Menu]