aLOC

Causes and Mx:

Hypoglycemia/ DKA/HHS

Blood Glucose/ Lyte/VBG/Ketone

Hypoxemia/Hypercapnea

O2%/ ETCO2/ VBG

Meningitis, Encephalitis

Fever, stiff neck, N/V Stiff neck, petechial ↓LOC, focal deficits

Ischemic Stroke

↓LOC, focal deficits , CT

Hemorrhagic Stroke

↓LOC, focal deficits, CT

Trauma ICH

↓LOC, focal deficits, CT

Tumor

↓LOC, focal deficits, CT

Seizure

Na/K/Cl/Ca/Mg/Ph/Cr/GFR/Urine lyte/ETOH/Tox/ECG/CT

Psych / Agitated

Haldol 2-6mg / Olanzapine 5-10 mg po / Ativan 1-2 mg

Electrolyte Acid-base Abn

Blood work Na/K/Cl/Ca/Mg/Ph/Cr/GFR/Urine lyte/ VBG/ECG

Arrhythmia

ECG

Hepatic Encephalopathy

↓LOC, Asterixis, Jaundice

Uremic Encephalopathy

↓LOC

Hyper / Hypo Thyroid

Fever, ↓LOC, TSH, ECG

Hyper / Hypo Cortisol

Blood work Na/K/Cl/Ca/Mg/Ph/Cr/GFR/Urine lyte Cortisole level

Sepsis UIT/CAP/SBP

Fever, ↓LOC

ETOH /Intox / WD/ Toxic

Hx of ETOH use

Drugs Med/ Street

Fever, ↓LOC