NURSING ORDERS: Altered Mental Status- Why What is Ordered, is Ordered
Here is a handy reference sheet to help medical professionals & students understand orders for altered mental status patients. Have you ever wondered why you are given orders that you are give? This reference sheet answers some of those questions, specifically for orders related to patients with altered mental status.
It is important to note that other orders are given (see below), this is just an overview. Every provider is different and depending upon what is suspected (including from the review of systems and physical exam), other tests may be ordered.
OTHER POSSIBLE ORDERS FOR AMS PATIENTS:
DIFFERENTIAL DIAGNOSIS FOR AMS
Stroke
TIA
Hypoglycemia
Trauma to head
Meningitis
Myxedema coma
Seizure (post-ictal)
Hypoxia
ETOH intoxication
Narcotics/sedatives
Hepatic encephalopathy
Hyperammonia
Renal failure (especially if patient takes narcotics-builds up)
And many, many, more causes (these are just a few)
REFERENCES:
1) Up to Date | https://www.uptodate.com/contents/ischemic-stroke-treatment-beyond-the-basics |
2) Oxford Academic | https://academic.oup.com/ehjcimaging/article/11/6/461/2397032 |
DISCLAIMER: The information posted is not intended to be medical advice. Check with your primary care provider regarding questions about your health. This post and all other posts are for educational purposes only. This information is intended for medical professionals & students. This is not intended to guide in medical decisions or treatment in any way. As always, medical professionals should call the on call provider if any clarifications are needed. State and hospital protocols should always be followed accordingly. Med Made Ez (MME) disclaims any liability for the decisions you make based on this information. |