After reading my discharge report, I realized that I was in worse shape than I originally thought, and they apparently did administer methylene blue without my knowledge. Figured I might as well excerpt and translate a few things in case anyone finds the report useful:
"Patient presented to the emergency department in distress following an ingestion event resulting in mixed sodium nitrite, benzodiazepine, and alcohol poisoning. The patient reported losing consciousness shortly after ingestion and later waking up in her own vomit. Upon regaining consciousness, she complained of severe and diffuse abdominal pain, rated at an 8/10 in severity. Additional endorsed symptoms included chest pain, extremity pain, cluster headaches, perioral shortness of breath, confusion, auditory hallucinations, and speech impairment."
"On initial assessment, the patient appeared ill, ashen, discolored, and in acute distress. There were visible signs of severe dehydration, alongside noted perioral cyanosis and perioral syncope. Initial vital signs showed the patient was afebrile, tachycardic to 104 bpm, and tachypneic with a respiratory rate of 24. Blood pressure was elevated with a systolic reading in the 120s. Oxygen saturation was critically diminished at 81% while receiving 10 L/min of oxygen via Bag-Valve-Mask (BVM). Ocular examination revealed unremarkable visual acuity; however, pupils were anisocoric with 2+ pupillary light reflexes."
"Immediate stabilization and medical management were initiated for acute toxicity and hypoxia. The patient received 1 mg/kg of methylene blue to counteract the suspected methemoglobinemia from the sodium nitrite ingestion, along with 40 units of vasopressin for hemodynamic support. Dehydration and systemic stabilization were treated with intravenous resuscitation fluids, followed by a continuous maintenance infusion of normal saline."
"Following medical clearance, the patient was transferred to the inpatient psychiatric unit for further evaluation and management."
@Dante_ :3
