An 83-year-old woman presented in emergency department with altered mental status. The family reported that she has been having increasing problems with her memory over the last several months. The daughter found her lying in the room when she didn’t come down for breakfast. Her blood pressure prescription is missing seven more tablets than it should. Past medical history: HTN Past medication history: Clonidine Physical Examination: Temperature: 4°F HR : 60 bpm RR : 9 breaths per minute BP : 80/40 mm Hg General : Confused and somnolent. HEENT: Miosis Pulmonary: Clear to auscultation. CV: Bradycardic without murmur.
Abdomen: Soft and nontender. Neurologic: Cranial nerves II-XII intact. Hyporeflexic. Muscle strength is markedly decreased. What will be the line of management? *This case is from Docplexus editorial team for educative purpose only Source: American College of Emergency…
