Sunday, October 25, 2015

Q: 72 year old female who is admitted for GI bleed found to have depressed mental status in the morning. Patient received a dose of 2mg lorazepam previous night for insomnia. You suspect Lorazepam effect and called for Flumazenil. Which one added precaution should be taken in such scenarios in ICU?

Answer: Checking blood sugar

Anytime if patient is encountered with altered mental status in ICU hypoglycemia should be ruled out simultaneously. Patient in above question is admitted with GI bleed and may have nothing per mouth status (NPO).

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