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Causes and Mx:

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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

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