]> 2026-07-31T11:51:54+00:00 WBR0196 0 en Order an immediate intravenous bolus infusion of 50 ml of D50W solution Draw a blood sample for plasma catecholamine and metanephrine levels Draw a blood sample for serum free T3, T4 and TSH levels Ask the patient to breathe into a paper bag Draw a blood sample to evaluate blood alcohol concentration Community Medical Health Center Primary Care Office Emergency Room Vendhan Ramanujam A 26 year old women comes to ER with complaints of nausea, sweating, dizziness and palpitations. She appears anxious, tremulous and breathes rapidly. She used to be previously in good health. These symptoms appeared suddenly before 30 minutes on her arrival to the ER. Her blood pressure is 110/70 mm Hg, pulse rate 110/minute and temperature is 36.6 C. Acute coronary syndrome and pulmonary embolism have been ruled out. While waiting for the physician, she also began complaining about numbness and a tingling sensation around her mouth and in her fingertips. The most appropriate next step by the physician will be D Psychiatry Respiratory Electrolytes 2020-10-27T23:43:40Z 2459150.4886574 WBR0196