Altered Mental Status (AMS) - Revision history

Treloars at 00:26, 24 April 2020

2020-04-24T00:26:28Z

← Older revision		Revision as of 00:26, 24 April 2020
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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, [[~~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		**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).		**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:

Treloars at 21:00, 22 April 2020

2020-04-22T21:00:13Z

← Older revision		Revision as of 21:00, 22 April 2020
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	**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 [[~~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]]		[[Category:Medical\|0503]]

Treloars at 02:02, 31 January 2018

2018-01-31T02:02:01Z

← Older revision		Revision as of 02:02, 31 January 2018
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	**'''Refer to Handtevy System for pediatric administration of [[Antagonists\|NALOXONE (NARCAN)]].'''		**'''Refer to Handtevy System for pediatric administration of [[Antagonists\|NALOXONE (NARCAN)]].'''

	[[Category:Medical]]		[[Category:Medical\|0503]]

Treloars at 13:47, 26 April 2017

2017-04-26T13:47:21Z

← Older revision		Revision as of 13:47, 26 April 2017
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	**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, Titrate [[Antagonists\|NALOXONE (NARCAN)]] to effect, 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, 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.'''		**'''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)]].'''		**'''Refer to Handtevy System for pediatric administration of [[Antagonists\|NALOXONE (NARCAN)]].'''

	[[Category:Medical]]		[[Category:Medical]]

Treloars: /* ALTERED MENTAL STATUS (AMS) */

2016-04-25T18:47:05Z

ALTERED MENTAL STATUS (AMS)

← Older revision		Revision as of 18:47, 25 April 2016
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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.
	***If patient is between 10 kg (22lb) - 20 Kg (44lb) .5 mg IM or IN.
	***Call for dosage order in pediatrics < 10 kg (22lb)
	**Refer to [[Hypo or Hyperglycemia\|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10).		**Refer to [[Hypo or Hyperglycemia\|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10).
	**For pediatric administration dilute [[Antidiabetics\|DEXTROSE 50%]] to [[Antidiabetics\|DEXTROSE 25%]] and refer to Broselow Tape.
	*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 ~~Broselow Tape~~ for pediatric administration of [[Antagonists\|NALOXONE (NARCAN)]].'''		**'''Refer to Handtevy System for pediatric administration of [[Antagonists\|NALOXONE (NARCAN)]].'''

	[[Category:Medical]]		[[Category:Medical]]

Treloars: /* Section 5 -MEDICAL 5.03 */

2012-04-02T00:59:30Z

Section 5 -MEDICAL 5.03

← Older revision		Revision as of 00:59, 2 April 2012
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	**'''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 Broselow Tape for pediatric administration of [[Antagonists\|NALOXONE (NARCAN)]].'''		**'''Refer to Broselow Tape for pediatric administration of [[Antagonists\|NALOXONE (NARCAN)]].'''

			[[Category:Medical]]

Treloars: 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..."

2012-02-01T18:56:20Z

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.
**If blood sugar < 100 and unable to obtain IV access, [[Antidiabetics|GLUCAGON]] 1 mg IM or IN.
***If patient is between 10 kg (22lb) - 20 Kg (44lb) .5 mg IM or IN.
***Call for dosage order in pediatrics < 10 kg (22lb)
**Refer to [[Hypo or Hyperglycemia|HYPO / HYPERGLYCEMIA PRACTICE PARAMETERS]] (5.10).
**For pediatric administration dilute [[Antidiabetics|DEXTROSE 50%]] to [[Antidiabetics|DEXTROSE 25%]] and refer to Broselow Tape.
*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 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 Broselow Tape for pediatric administration of [[Antagonists|NALOXONE (NARCAN)]].'''

← Older revision		Revision as of 21:00, 22 April 2020
Line 14:		Line 14:
	**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 [[~~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]]		[[Category:Medical\|0503]]