M - 1 - AMS - Adult & Pediatric

Question 1

What is the mnemonic for common causes of altered mental status?

Answer 1

A - alcohol
E - epilepsy, electrolytes
I - insulin
O - overdose
U - uremia (kidney failure)
T - temp, trauma
I - infection
P - poisoning (CO)
S - shock

Question 2

What is one of the first assessments performed in AMS patients?

A. 12-lead ECG
B. BGL
C. ETCO2

Answer 2

B. BGL

Question 3

Based on a blood glucose under 50 mg/dL in an adult patient, what medication may be administered if an IV is obtained?

A. 25g D50 Dextrose
B. 0.1 mg/kg Glucagon
C. 1 mg Glucagon

Answer 3

A. 25g D50 Dextrose IV

Dextrose 25g is administered to ALL patients regardless of age/weight in adult patients

Question 4

Based on a blood glucose under 50 mg/dL in an adult patient, what medication may be administered if an IV is not obtained?

A. 25g D50 Dextrose IM
B. 0.1 mg/kg Glucagon IM
C. 2 mg Glucagon IM

Answer 4

C. 2 mg Glucagon IM

Is administered to ALL patients regardless of age/weight in adult patients

Question 5

BGL is re-evaluated after ____ when dextrose or glucagon is administered.

Answer 5

5-10 minutes

Question 6

If a patient has a glucose over 300 mg/dL, what should be evaluated?

Answer 6

Signs/symptoms of dehydration.

Question 7

If a patient with AMS and has S/S of dehydration, what should be administered?

Answer 7

NS IV bolus

- 250-500 mL NS(20mL/kg)

Question 8

If a suspected narcotic overdose is present (pinpoint pupils, respiratory depression), what should be administered?

Answer 8

0.4 mg IV/IM/IN Naloxone to achieve adequate respirations.