A 22-year-old female is brought into the ED via ambulance because of a suicide attempt. Soon after a “night on the town” she called her boyfriend after a fight and said she took a handful of sleeping pills.
On exam, she is lethargic, but groins and moves all her extremities to painful stimuli. Her blood pressure is 110/70, heart rate is 80 and oxygen saturation 99 percent. Her pupils are normal size and reactive to light. Her deep tendon reflexes are normally bilaterally. In the field she was given an IV bolus of dextrose with an amp or Narcan without response. Her boyfriend, with whom she had an argument brings in a bottle of sleeping medication that reads lorazepam.
What is your diagnosis and differentials? Use VINDICATE
What would be important to know about this patient? Include testing
What is your treatment plan? Explain.
