Document Detail

Sleeping beauty: a case of pickwickian syndrome.
MedLine Citation:
PMID:  2664315     Owner:  NLM     Status:  MEDLINE    
The patient arriving at the emergency department with somnolence must be evaluated quickly, efficiently, and with a definite goal in mind. Head and neck trauma should always be suspected and protective steps taken in the unconscious patient. The coma mnemonic, AEIOU TIPS, (alcohol, epilepsy, insulin, overdose, uremia, trauma, infection, psychiatric, stroke) provides an excellent memory tool for the evaluation of decreased level of consciousness in the emergency setting. Interventions that provide diagnostic and therapeutic results (naloxone and 50% dextrose) should be initiated immediately while blood samples are drawn for pretreatment documentation. Each of the possible causes of lethargy or somnolence needs to be evaluated with the understanding that a multitude of factors may be present in the patient whose condition precludes a thorough history; the depressed diabetic may have taken an overdose of medications in addition to his insulin. Social preconceptions may also effect the outcome. The intoxicated patient described herein was allowed to "sleep it off" in the emergency department under the watchful eyes (and ears) of a nursing staff who faithfully recorded vital signs and pupil reactivity as the patient's blood gas values deteriorated.
C W Hartzell
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association     Volume:  15     ISSN:  0099-1767     ISO Abbreviation:  J Emerg Nurs     Publication Date:    1989 Jan-Feb
Date Detail:
Created Date:  1989-08-17     Completed Date:  1989-08-17     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  7605913     Medline TA:  J Emerg Nurs     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  8-11     Citation Subset:  N    
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MeSH Terms
Alcoholic Intoxication / diagnosis,  therapy
Combined Modality Therapy
Critical Care
Obesity Hypoventilation Syndrome / diagnosis*,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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