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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)