| 1. Intravenous fluids | Avoid D5W and excessive fluid loading. |
| 2. Blood sugar | Determine immediately. Bolus of 50% dextrose if hypoglycemic; insulin if > 300 mg%. |
| 3. Thiamine | 100 mg if malnourished, alcoholic |
| 4. Oxygen | Pulse oximetry. Supplement if indicated. |
| 5. Acetaminophen | If febrile. |
| 6. NPO | If at risk for aspiration |