Emergency treatment of coma of unknown cause includes rapid intravenous administration of which three agents?
a. Epinephrine, hydrocortisone, and Benadryl
b. Dopamine, 10% dextrose in distilled water, and calcium chloride
c. Mannitol, dexamethasone, and sodium bicarbonate
d. Thiamine, glucose, and opioid antagonist
D
The goal of medical management of the patient in coma is identification and treatment of the underlying cause of the condition. Initial medical management includes emergency measures to support vital functions and prevent further neurologic deterioration. Protection of the airway and ventilatory assistance are often needed. Administration of thiamine (at least 100 milligrams [mg]), glucose, and an opioid antagonist is suggested when the cause of coma is not immediately known.
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