- Paramedic Program
- Certification Courses
Patient is 64-year-old male, with chief complaint of altered mental status. It was called in by staff at residence when they noticed patient was generally confused, as evident by attempt to enter the wrong room on his way back from the bathroom. Patient presented awake, not responding to questions appropriately. Patient presented generally unkempt. Patient was tachypic at 40, tachycardic at 120 and febrile.
Blood pressure of 101/33. MAP was 56.
What are you thinking for differentials at this point? How was MAP determined?
Field lactate obtained and found to be 7.9. Field temp obtained and found to be 99.2 BGL of 101
Map obtained by diastolic x2 plus systolic divided by 3.
Patient met sepsis alert criteria and the hospital was notified. Hospital treated patient 45 minutes sooner with fluid resuscitation, antibiotics, airway management and ICU admission due to the notification. 50 minutes later their lab confirmed lactate reading of 7.4 with lab work results.
How would you treat this patient?