An 85-year-old Woman with Altered Mental Status and Hypotension

An 85-year-old Woman with Altered Mental Status and Hypotension

An 85-year-old female patient was brought to emergency department (ED) from a nursing home with altered mental status (GCS: 12/15) and hypotension (90/60 mmHg). Bilateral fine crackles in lungs and severe cachexia were obvious in her physical examination. The ECG showed only sinus tachycardia. Seve...

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Main Authors: Mehran Sotoodehnia, Atefeh Abdollahi, Maryam Khodayar
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2019-04-01
Series:Advanced Journal of Emergency Medicine
Online Access:http://ajem.tums.ac.ir/index.php/ajem/article/view/144
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spelling doaj-5521b937eaef43a68d50de4bcf3fb9f72020-11-24T21:44:22ZengTehran University of Medical SciencesAdvanced Journal of Emergency Medicine2588-400X2019-04-0110.22114/ajem.v0i0.144An 85-year-old Woman with Altered Mental Status and HypotensionMehran Sotoodehnia0Atefeh Abdollahi1Maryam Khodayar2Department of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Emergency Medicine, Sina Hospital, Tehran University of Medical Sciences, Tehran, IranDepartment of Emergency Medicine, Shahroud University of Medical Sciences, Shahroud, Iran An 85-year-old female patient was brought to emergency department (ED) from a nursing home with altered mental status (GCS: 12/15) and hypotension (90/60 mmHg). Bilateral fine crackles in lungs and severe cachexia were obvious in her physical examination. The ECG showed only sinus tachycardia. Several attempts at peripheral vein cannulation failed due to poor visualization of severely atrophied and contracted subcutaneous veins. Therefore, on two attempts, a central venous catheter (CVC) was inserted into the right internal jugular vein (IJV) using the Seldinger technique. After securing and taping the central line, fluid infusion started with no difficulty and a portable chest x-ray was ordered. http://ajem.tums.ac.ir/index.php/ajem/article/view/144
collection DOAJ
language English
format Article
sources DOAJ
author Mehran Sotoodehnia
Atefeh Abdollahi
Maryam Khodayar
spellingShingle Mehran Sotoodehnia
Atefeh Abdollahi
Maryam Khodayar
An 85-year-old Woman with Altered Mental Status and Hypotension
Advanced Journal of Emergency Medicine
author_facet Mehran Sotoodehnia
Atefeh Abdollahi
Maryam Khodayar
author_sort Mehran Sotoodehnia
title An 85-year-old Woman with Altered Mental Status and Hypotension
title_short An 85-year-old Woman with Altered Mental Status and Hypotension
title_full An 85-year-old Woman with Altered Mental Status and Hypotension
title_fullStr An 85-year-old Woman with Altered Mental Status and Hypotension
title_full_unstemmed An 85-year-old Woman with Altered Mental Status and Hypotension
title_sort 85-year-old woman with altered mental status and hypotension
publisher Tehran University of Medical Sciences
series Advanced Journal of Emergency Medicine
issn 2588-400X
publishDate 2019-04-01
description An 85-year-old female patient was brought to emergency department (ED) from a nursing home with altered mental status (GCS: 12/15) and hypotension (90/60 mmHg). Bilateral fine crackles in lungs and severe cachexia were obvious in her physical examination. The ECG showed only sinus tachycardia. Several attempts at peripheral vein cannulation failed due to poor visualization of severely atrophied and contracted subcutaneous veins. Therefore, on two attempts, a central venous catheter (CVC) was inserted into the right internal jugular vein (IJV) using the Seldinger technique. After securing and taping the central line, fluid infusion started with no difficulty and a portable chest x-ray was ordered.
url http://ajem.tums.ac.ir/index.php/ajem/article/view/144
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AT atefehabdollahi an85yearoldwomanwithalteredmentalstatusandhypotension
AT maryamkhodayar an85yearoldwomanwithalteredmentalstatusandhypotension
AT mehransotoodehnia 85yearoldwomanwithalteredmentalstatusandhypotension
AT atefehabdollahi 85yearoldwomanwithalteredmentalstatusandhypotension
AT maryamkhodayar 85yearoldwomanwithalteredmentalstatusandhypotension
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