Within the hour of her arrival, her GCS score began to decrease, and she became unresponsive. She denied any infective symptoms and her history had no suggestion of trauma. She reported feeling well the evening prior to presentation. Upon arrival, her nursing assessment documented a Glasgow Coma Scale (GCS) score of 15, vital signs (VS) of: heart rate 110 beats/minute, respiratory rate 18 breaths/minute, blood pressure 110/79mmHg, temperature 36.4oC, oxygenation saturation 91% on room air. Case reportĪ 40-year-old female with no significant past medical history presented to our tertiary hospital emergency department (ED) via ambulance with vague symptoms that included a headache and abdominal pain. A brief and limited review of EG’s mechanism of toxicity, diagnosis and treatment is included. We show how this pitfall may be used to potentially identify EG toxicity. We report a case of unknown ethylene glycol (EG) ingestion and discuss a pitfall from point of care (POC) laboratory testing-a falsely reported elevated lactate level that potentially delayed the diagnosis in a critically ill patient with limited medical history.
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |