A 75-year-old female has been admitted as an emergency
having been found collapsed on the floor at home. She is known to have
hypothyroidism but the bottle of tablets found by the ambulance crew appears
On examination she is drowsy, has a core temperature of
30oC. Her pulse rate is 40
beats per minute and blood pressure 90/60. There are fine inspiratory
crepitations at the left base of her lungs.
ECG shows sinus bradycardia with low voltage complexes.
In this patient your most important course of action
Rapid infusion of intravenous saline
Bolus of 50 % dextrose 50 mls intravenously
Rapid external rewarming
Intravenous broad spectrum antibiotics after taking blood cultures