Altered Mental Status (AMS): Difference between revisions
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* If hypotensive, refer to [[Shock|SHOCK PRACTICE PARAMETER]] (5.13). | * If hypotensive, refer to [[Shock|SHOCK PRACTICE PARAMETER]] (5.13). | ||
* If blood sugar < 100, [[Antidiabetics|DEXTROSE 50%]] 25 gm IVP. | * 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. | **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). | **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, [[Antagonists|NALOXONE (NARCAN)]] in 0.5 mg increments IVP or IN every 3 minutes prn if transient response observed, not to exceed 6 mg. | ** An adult patient’s weight is < 50 kg, [[Antagonists|NALOXONE (NARCAN)]] in 0.5 mg increments IVP or IN every 3 minutes prn if transient response observed, not to exceed 6 mg. | ||
** An adult patient’s weight is > 50 kg, [[Antagonists|NALOXONE (NARCAN)]] in 0.5 mg increments IVP or IN every 3 minutes prn if transient response observed, not to exceed 10 mg. | ** An adult patient’s weight is > 50 kg, [[Antagonists|NALOXONE (NARCAN)]] in 0.5 mg increments IVP or IN every 3 minutes prn if transient response observed, 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 [[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 | **'''Refer to Handtevy System for pediatric administration of [[Antagonists|NALOXONE (NARCAN)]].''' | ||
[[Category:Medical]] | [[Category:Medical]] | ||
Revision as of 18:47, 25 April 2016
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% 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, NALOXONE (NARCAN) in 0.5 mg increments IVP or IN every 3 minutes prn if transient response observed, not to exceed 6 mg.
- An adult patient’s weight is > 50 kg, NALOXONE (NARCAN) in 0.5 mg increments IVP or IN every 3 minutes prn if transient response observed, 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).