1 Scenario 10.3 Sympathomimetic Overdose

2 ECG

3 CT Head Radiology Preliminary Read: Normal

4 Portable Chest X-ray Radiology Preliminary Read: Normal

5 Complete Blood Count ValueNormal range WBC bil/L HGB g/dL HCT % Plts bil/L

6 Complete Metabolic Panel ValueNormal range Na mmol/L K mmol/L Cl mmol/L CO mmol/L BUN mg/dL Cr mg.dL Glu mg/dL Ca mmol/L Total protein g/dL Albumin g/dL AST U/L ALT60-37 U/L Alk. phos U/L T. Bili mg/dL

7 Cardiac Enzymes ValueNormal range CK U/L CK-MB ng/mL Trop-I<0.06  0.06 ng/mL

8 Pro-B Natriuretic Peptide ValueNormal range BNP112<100 pg/mL

9 Urinalysis Clarityclear Coloryellow Glucosenegativenegative mg/dL Bilirubinnegative Ketonesnegativenegative mg/dL Sp. grav Bloodnegative pH Proteinnegativenegative mg/dL Urobilinogennegative<0.2 EU/dL Nitritesnegative Leukocytesnegative

10 Lactate ValueNormal range Lactate mmol/L

11 Coagulation Panel ValueNormal range PT s PTT s INR

12 Urine Toxicology ValueNormal range Amphetamine/Ecstasynot detected Barbituratesnot detected Benzodiazepinesnot detected Cocaine metabolitepositivenot detected Sp codeine/morphinenot detected THCnot detected Methadonenot detected

13 Serum Toxicology ValueNormal range Acetaminophennot detected Ethanolnot detectednot detect Salicylatesnot detectednot detect