Resident was acting different than normal. Speech was barely audible, unable to swallow meds (never a problem before), pocket food in the mouth, stated he felt dizzy, very lethargic... took VS and they were within normal parameters... Advised supervisor and we continued to monitor. I keep rethinking this and truly wonder if he possibly had a TIA?
Pt on several meds: lithium, depakote, phenytoin, trazadone, etc, and all of the side effects of these meds could have contributed to his decreased LOC, dizziness and slurred speech.... feel so unsure of what was going on with him and wonder if we missed something?