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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES

iSepsis – Understanding Lactate

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domingo, 2 de abril de 2017

Altered Mental Status

emDocs
emDocs - April 1, 2017 - Author: Simon E -  Edited by: Koyfman A and Long B
"Pearls:
  • Consider narcan if concern for opiod toxidrome (Adults: 0.4-2 mg IV).
  • Administer thiamine (100-500 mg IV) if concern for Wernicke’s encephalopathy (altered mental status, opthalmoplegia with horizontal nystagmus, ataxia and vestibular dysfunction).
  • A falsely elevated osmolar gap may be produced by low molecular weight un-ionized substances (dextran, diuretics, sorbitol, ketones), hyperlipidemia, and unmeasured electrolytes (magnesium)."