Altered/Neuro/OD

Question 1

A

Answer 1

• Alcohol
• Acidosis/Alkalosis
• Ammonia (Hepatic encephalopathy)
• Arrhythmias

Question 2

E

Answer 2

• Electrolytes
• Endocrine (Thyroid, Adrenal)
• Epilepsy

Question 3

I

Answer 3

• Infection
• ICP

Question 4

O

Answer 4

• OD
• O2 Deficiency

Question 5

U

Answer 5

Uremia (Kidneys)

Question 6

T

Answer 6

• Temperature
• Trauma
• Tumor

Question 7

I

Answer 7

Insulin (hypo or hyper)

Question 8

P

Answer 8

• Psychiatric
• Poisoning

Question 9

S

Answer 9

• Stroke
• Seizure
• Syncope
• Shock
• Space Occupying Lesion
• Shunt (VP) Malfunction

Question 10

Initial Considerations..

Answer 10

• ALS/BLS General AG
• ABC’s
• Pt HX
• Obtain FSBG
• Stroke Screen
• Pupils

Question 11

If Hypoventilating &/or Constricted Pupils..

Answer 11

• 2mg of IM Narcan
  *May Repeat q 3-5 min

Question 12

If still unconscious/unresponsive..

Answer 12

• Consider AEIOUTIPS & Corresponding AG’s
  *Perform thorough Pt & Scene Assessment
• Ongoing Reassessment/Evaluate response to TX & VS
• Consider consultation with AZ Poison Center (1-800-222-1222)

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