Personal Information
- Name: _________________
- Date of Birth: _________________
- Primary Diagnosis: _________________
- Emergency Contact: _________________
- Phone: _________________
Emergency Warning Signs
Seek Immediate Medical Attention If:
-
Mental Status Changes
- Confusion
- Extreme lethargy
- Loss of consciousness
-
Metabolic Crisis Symptoms
- Severe vomiting
- Difficulty breathing
- Seizures
- Severe muscle weakness
Emergency Protocol
Step 1: Initial Response
- Stop protein intake immediately
- Provide emergency glucose source
- Begin oral rehydration if conscious
Step 2: Medication Administration
- Emergency medications: _________________
- Dosage: _________________
- Route: _________________
Step 3: Medical Contact
- Call metabolic clinic: _________________
- If unavailable, proceed to nearest emergency department
- Present this plan and medical alert bracelet to staff
Special Instructions
For Healthcare Providers
- This patient has a metabolic disorder requiring urgent treatment
- Standard protocols may need modification
- Contact metabolic specialist at: _________________
Important Medications
- Regular medications: _________________
- Emergency medications: _________________
Prevention
- Maintain regular meal schedule
- Avoid fasting >4 hours
- Monitor illness symptoms early
- Keep emergency supplies accessible
Last Updated: [Date]
_Physician Signature: _________________