A 16-year-old female presents to the Emergency

A 16-year-old female presents to the Emergency Department via private vehicle barely responsive to painful stimuli. An hour ago, she informed her sister that she had “taken all of Mom’s diazepam,” which her sister estimates to have been about 20 tablets (5 mg), and washed them down with “a bottle of vodka.” The reason for the delay in arrival was that she refused to be transported, so her sister waited until she “passed out” to put her into the car and drive her to the Emergency Department. Physical Examination: T: 98.8°F HR: 78 bpm RR: 6 breaths per minute BP: 126/86 mm Hg General: Groans in response to painful stimuli. There are no signs of trauma. HEENT: Pupils are mid-position, equal and sluggishly reactive. She has a diminished gag reflex. Pulmonary: Clear to auscultation. CV: Regular rate and rhythm. Neurologic: Neurological exam is without focal deficit. Questions What are the salient features of this patient’s problem? How do you think through her problem? What are the key features including essentials of diagnosis, general considerations and demographics of this diagnosis? What are the symptoms and signs of this diagnosis? What is the differential diagnosis of this? What are imaging and procedural findings of this diagnosis? What are the treatments for this diagnosis? SCIENCE HEALTH SCIENCE NURSING NUR 507

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