CLIPP 24: 2 year old female with altered mental status

Question 1

List 4 general causes of acute altered mental status in a 2 year old

Answer 1

Infection (sepsis, meningitis, encephalitis)
Toxic ingestion
Trauma
Seizure

Question 2

AEIOUTIPS mnemonic for AMS

Answer 2

Alcohol, ingested toxins
Epilepsy, encephalitis, endocrine, electrolytes
Infection (meningitis/sepsis)
Overdose, opiates, oxygen deprived
Uremia (renal failure)
Trauma, temperature
Insulin
Psychosis
Stroke, shock, space occupying lesions

Question 3

Identify the drug class based off of the following symptoms with overdose: Miosis and blurred vision,
Increased gastric motility (nausea, vomiting, diarrhea),
Excessive tearing, salivation, sweating and urination,
Bronchorrhea and bronchospasm, Muscle twitching and weakness, Bradycardia Seizures and coma

Answer 3

Cholinergic

Question 4

Identify the drug class based off of the following symptoms with overdose: Mydriasis (dilated pupils) "blind as a bat", Dry skin "dry as a bone", 
Red skin (flushed) "red as a beet", 
Fever "hot as Hades", Delirium and seizures "mad as a hatter"  Tachycardia, Urinary retention, Ileus

Answer 4

Anti-cholinergic

Question 5

Identify the drug class based off the following symptoms with overdose: Blurred vision (miosis or mydriasis),  Hypotension, Apnea and bradycardia
Hypothermia, Sedation, confusion, delirium, coma

Answer 5

Sedative-Hypnotic (benzodiazepines, barbiturates)

Question 6

Identify the drug class based off of the following symptoms with overdose: Miosis (constricted pupils),
Respiratory depression, Bradycardia and hypotension,
Hypothermia, Depressed mental status (sedation, confusion, coma),

Answer 6

Opioids

Question 7

Identify the drug class based off of the following symptoms with overdose: Mydriasis, Fever and diaphoresis, Tachycardia, Agitation and seizures

Answer 7

Sympathomimetics

Question 8

Mnemonic for cholinergic overdose?

Answer 8

SLUDGE
Salivation
Lacrimation
Urination
Diarrhea
GI mobility
Emesis