Generalized Weakness

Generalized Weakness:

  • Differential diagnosis:
    • Anemia: Ordered CBC. Assess for recent blood loss.
    • Hypothyroidism: Order TSH.
    • Hypoglycemia: Order bedside Accu-Check BG.
    • Dehydration: Order IV fluids.
    • Deconditioning: Assess ability to ambulate. Place on fall precautions. Order PT/OT.
    • Depression.
    • Infection: UTI (order UA) or PNA (chest x-ray to assess for consolidation).
    • Medications: Sedatives (Xanax, Ativan), narcotics (Lortab, morphine in patient with renal failure), antihistamine (Zyrtec in elderly).
    • CO2 narcosis: ABG – especially in COPD patients.
  • Labs to order: EKG, CBC, CMP, INR, TSH, BG, Troponin, UA, ABG.
  • Order IV fluid, chest x-ray

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