Author: Kanisha Desai, Rignesh Patel, Anjali Patel, Ketan Patel / Editor: Steve Corry-Bass / Codes: EnvC2, EnvC3, SLO3 / Published: 23/05/2023
In summer, a 33-year-old patient arrives in the Emergency Department (ED) unconscious. She has previously been an inpatient at the local Mental Health facility and takes Olanzapine, Risperidone, Sodium Valproate and Lorazepam.
Her assessment on arrival is as follows:
- A – maintained with simple adjuncts
- B – Chest clear, RR18, Saturations 100% on Oxygen
- C – Cold to touch, HR32, 73/55
- D – GCS 4 (E1 V1 M2), Pupils sluggish reactions, Glucose “Lo”
- E – No obvious injuries, Core temperature is 28ºC
She receives IV Dextrose which returns her venous glucose to normal with no change in her GCS.
2 responses
Good learning case
Good case