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ALTERED MENTAL STATUS

Purpose: To initiate and expedite care from triage for all MEDcare patients based on
presenting symptoms and agreed upon guidelines.


Common presenting symptoms sets include:

Confusion
Dizziness
Disorientation
Weakness
Fatigue
Nausea/Vomiting


Procedure:

1. Place patient in procedure room. Undress to gown.
2. Obtain UA and UPT in female of child-bearing age.
3. Obtain BGL.
4. Establish IV access. Draw CBC & BMP.


Orders:
UA
UPT
BGL
CBC
BMP



Additional Considerations:
Anticipate CT Head after assessment by MD
IV Fluids if altered mentation is related to dehydration

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