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Upon EMS’ arrival, the patient had a Glasgow Coma Scale (GS) score of “3” with neap, hypoglycemia, and meiotic pupils. Her blood glucose level measured 73 mg/dL. Her vital signs on arrival included a heart rate of 46 beats per minute, blood pressure 99/53 mm Hg. atonal respiration, temperature 94.6°F, and room air pulse optometry of 78%. Physical examination revealed a GS of “3,” pupils measuring 3 mm and being sluggishly reactive, and a taught, “dusky” left forearm with delayed capillary refill distal to a left antenatal vein injection site. Computed tomography of her head demonstrated no hemorrhage. mass, or ischemic change. Serum creation hospholipase and ethanol measured 806 U/L and 58 mg/dL, respectively. Complete metabolic panel. serum salivate. and acetaminophen levels were unremarkable.
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Upon arrival to the intensive care unit (ICU). the patient was evaluated by the surgical service. see Figure 1) and had been stolen from his on-site, secured pharmacy. Suicide attempt via sodium phenobarbital is uncommon. Upon EMS’ arrival, the patient was experiencing neap. hypoglycemia, and meiotic pupils; her blood glucose level measured 73 mg/dL. She was bradycardia and administered atropine with transient improvement in heart rate and transported to an emergency department. Expanded toxicological analysis via liquid chromatography/mass spectroscopy detected caffeine, atropine. 7-acetaminophen phenytoin circuital and provenance. Treatment of barbiturate dependence consists of cautious and gradual withdrawal of the drug. In all cases withdrawal takes an extended period of time. One method involves