A 19-year-old female presents to your emergency department after ingesting a large amount of rubbing alcohol following a fight with her boyfriend. She appears very sleepy and complains of generalized weakness. She now denies suicidal ideation and has no plan to injure herself. She denies any co-ingestion and the paramedics found no other pills or substances in the house. PMH : None SH : No previous suicide attempts or history of depression. Physical examination : T: 99.4°F HR: 78 bpm RR: 18 breaths per minute BP: 90/60 mm Hg General: Lethargic.
HEENT: Acetone odor on the breath, otherwise normal Pulmonary: Clear to auscultation CV: Regular rate and rhythm without murmur, capillary refill 4 seconds Neurologic: GCS 14. Cranial nerves II-XII intact. Ataxia is present. All deep tendon reflexes are depressed. Strength is 3/5 all flexors and extensors of bilateral upper and lower extremities.…
