Round 23 (MW) Pediatric Altered Mental Status

You are working at Clerkship General when you hear an EMS call on the radio. “Clerkship General, we are bringing you a 3 year old female with complaints of altered mental status. We are pulling in now.”











Initial Vitals:











HR: 129











BP: 98/66











Temp: 99.7F











RR: 35











O2: 99% Room Air











Critical Actions:














* Check blood glucose











* Check ingestion labs











* Start bicarbonate drip











* Call nephrology











* Check venous blood gas