Altered Mental Status (AMS) - Revision history

Mfrdmanager at 13:47, 13 November 2020

2020-11-13T13:47:06Z

Mfrdmanager: Protected "Altered Mental Status (AMS)" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

2018-02-10T14:21:29Z

Protected "Altered Mental Status (AMS)" ([Edit=Allow only administrators] (indefinite) [Move=Allow only administrators] (indefinite))

Mfrdmanager: Created page with "== Section 5 -MEDICAL 5.03 == === ALTERED MENTAL STATUS (AMS) === '''''AMS is defined as an alteration in either the patient’s LOC or Orientation''''' Initial Medical As..."

2018-02-10T14:21:19Z

Created page with "== Section 5 -MEDICAL 5.03 == === ALTERED MENTAL STATUS (AMS) === '''''AMS is defined as an alteration in either the patient’s LOC or Orientation''''' Initial Medical As..."

New page

== Section 5 -MEDICAL 5.03 ==
=== ALTERED MENTAL STATUS (AMS) ===

'''''AMS is defined as an alteration in either the patient’s LOC or Orientation'''''

[[Initial Medical Assessment and Care|INITIAL MEDICAL CARE]] (2.01) - Provide OXYGEN or assist ventilations as appropriate for patient condition.
* C-spine precautions as indicated.
* Obtain and record blood sugar level.
* Draw blood tubes, if available.
* If hypotensive, refer to [[Shock|SHOCK PRACTICE PARAMETER]] (5.13).
* If blood sugar < 100, [[Antidiabetics|DEXTROSE 50%]] 25 gm IVP.
**For pediatric patients, refer to Handtevy System
**If blood sugar < 100 and unable to obtain IV access, [[Antidiabetics|GLUCAGON]] 1 mg IM or IN.
**Refer to [[Hypo or Hyperglycemia|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10).
*If no response and a narcotic overdose is suspected:
** An adult patient’s weight is < 50 kg, Titrate [[Antagonists|NALOXONE (NARCAN)]] to effect, not to exceed 6 mg.
** An adult patient’s weight is > 50 kg, Titrate [[Antagonists|NALOXONE (NARCAN)]] to effect, not to exceed 10 mg.
**'''Note: Only administer enough [[Antagonists|NALOXONE (NARCAN)]] to improve respiratory effort if decreased, it is not necessary to reverse the altered mental status. Consider soft restraints for the patient suspected of a narcotic overdose.'''
**'''Refer to Handtevy System for pediatric administration of [[Antagonists|NALOXONE (NARCAN)]].'''

[[Category:Medical|0503]]

@@ Line 9: / Line 9: @@
 * Draw blood tubes, if available.
 * If hypotensive, refer to [[Shock|SHOCK PRACTICE PARAMETER]] (5.13).
-* If blood sugar < 100, [[Antidiabetics|DEXTROSE 50%]] 25 gm IVP.
+* If blood sugar < 100, [[Dextrose_50%25|DEXTROSE 50%]] OR [[Dextrose_10%25|DEXTROSE 10%]] 25 gm IVP.
 **For pediatric patients, refer to Handtevy System
-**If blood sugar < 100 and unable to obtain IV access, [[Antidiabetics|GLUCAGON]] 1 mg IM or IN.
+**If blood sugar < 100 and unable to obtain IV access, [[Glucagon|GLUCAGON]] 1 mg IM or IN.
 **Refer to [[Hypo or Hyperglycemia|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10).
 *If no response and a narcotic overdose is suspected:
-** An adult patient’s weight is < 50 kg, Titrate [[Antagonists|NALOXONE (NARCAN)]] to effect, not to exceed 6 mg.
+** An adult patient’s weight is < 50 kg, Titrate [[Naloxone|NALOXONE (NARCAN)]] to effect, not to exceed 6 mg.
-** An adult patient’s weight is > 50 kg, Titrate [[Antagonists|NALOXONE (NARCAN)]] to effect, not to exceed 10 mg.
+** An adult patient’s weight is > 50 kg, Titrate [[Naloxone|NALOXONE (NARCAN)]] to effect, not to exceed 10 mg.
-**'''Note: Only administer enough [[Antagonists|NALOXONE (NARCAN)]] to improve respiratory effort if decreased, it is not necessary to reverse the altered mental status. Consider soft restraints for the patient suspected of a narcotic overdose.'''
+**'''Note: Only administer enough [[Naloxone|NALOXONE (NARCAN)]] to improve respiratory effort if decreased, it is not necessary to reverse the altered mental status. Consider soft restraints for the patient suspected of a narcotic overdose.'''
-**'''Refer to Handtevy System for pediatric administration of [[Antagonists|NALOXONE (NARCAN)]].'''
+**'''Refer to Handtevy System for pediatric administration of [[Naloxone|NALOXONE (NARCAN)]].'''
 [[Category:Medical|0503]]

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