Abstract
A 33-year-old woman was brought to the ED with altered mental status. She was combative on presentation but spontaneously progressed into a comatose state and was intubated for airway protection. Naloxone failed to improve her mental status. When family was reached, they reported a history of seizures that were controlled on treatment.
Copyright © 2018 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
MeSH terms
-
Adult
-
Ammonia / blood*
-
Anticonvulsants / administration & dosage
-
Anticonvulsants / adverse effects
-
Anticonvulsants / pharmacokinetics
-
Arrhythmias, Cardiac* / diagnosis
-
Arrhythmias, Cardiac* / drug therapy
-
Arrhythmias, Cardiac* / etiology
-
Drug Overdose* / blood
-
Drug Overdose* / diagnosis
-
Drug Overdose* / physiopathology
-
Drug Overdose* / therapy
-
Female
-
Glasgow Coma Scale
-
Humans
-
Mental Disorders* / blood
-
Mental Disorders* / chemically induced
-
Mental Disorders* / diagnosis
-
Mental Disorders* / therapy
-
Renal Dialysis / methods
-
Respiration, Artificial / methods
-
Seizures / drug therapy*
-
Treatment Outcome
-
Valproic Acid / administration & dosage
-
Valproic Acid / adverse effects*
-
Valproic Acid / pharmacokinetics
Substances
-
Anticonvulsants
-
Valproic Acid
-
Ammonia