Difference between revisions of "Altered Mental Status (AMS)"
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* Draw blood tubes, if available. | * Draw blood tubes, if available. | ||
* If hypotensive, refer to [[Shock|SHOCK PRACTICE PARAMETER]] (5.13). | * If hypotensive, refer to [[Shock|SHOCK PRACTICE PARAMETER]] (5.13). | ||
| − | * If blood sugar < 100, [[ | + | * 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 | **For pediatric patients, refer to Handtevy System | ||
| − | **If blood sugar < 100 and unable to obtain IV access, [[ | + | **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). | **Refer to [[Hypo or Hyperglycemia|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10). | ||
*If no response and a narcotic overdose is suspected: | *If no response and a narcotic overdose is suspected: | ||
| − | ** An adult patient’s weight is < 50 kg, Titrate [[ | + | ** 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 [[ | + | ** An adult patient’s weight is > 50 kg, Titrate [[Naloxone|NALOXONE (NARCAN)]] to effect, not to exceed 10 mg. |
| − | **'''Note: Only administer enough [[ | + | **'''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 [[ | + | **'''Refer to Handtevy System for pediatric administration of [[Naloxone|NALOXONE (NARCAN)]].''' |
[[Category:Medical|0503]] | [[Category:Medical|0503]] | ||
Latest revision as of 05:47, 13 November 2020
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 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 PRACTICE PARAMETER (5.13).
- If blood sugar < 100, DEXTROSE 50% OR DEXTROSE 10% 25 gm IVP.
- For pediatric patients, refer to Handtevy System
- If blood sugar < 100 and unable to obtain IV access, GLUCAGON 1 mg IM or IN.
- Refer to HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS (5.10).
- If no response and a narcotic overdose is suspected:
- An adult patient’s weight is < 50 kg, Titrate NALOXONE (NARCAN) to effect, not to exceed 6 mg.
- An adult patient’s weight is > 50 kg, Titrate NALOXONE (NARCAN) to effect, not to exceed 10 mg.
- Note: Only administer enough 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 NALOXONE (NARCAN).
