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Standing Order-AMS Draft

This document outlines the procedure for patients presenting with altered mental status. Common symptoms include confusion, dizziness, disorientation, weakness, fatigue, and nausea/vomiting. The procedure is to place the patient in an exam room, obtain a urine analysis and pregnancy test if female, check blood glucose levels, start an IV, and draw blood for a complete blood count and basic metabolic panel. Standard orders include these tests. A CT head scan may be ordered after physician assessment, and IV fluids administered if dehydration causes the altered mentation.

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Katelyn Brissey
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30 views

Standing Order-AMS Draft

This document outlines the procedure for patients presenting with altered mental status. Common symptoms include confusion, dizziness, disorientation, weakness, fatigue, and nausea/vomiting. The procedure is to place the patient in an exam room, obtain a urine analysis and pregnancy test if female, check blood glucose levels, start an IV, and draw blood for a complete blood count and basic metabolic panel. Standard orders include these tests. A CT head scan may be ordered after physician assessment, and IV fluids administered if dehydration causes the altered mentation.

Uploaded by

Katelyn Brissey
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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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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