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If a person has an altered mental state, they could be poisoned, suffering brain injury, hypoglycemic, drugged, suffering lung problems, or suffering any of various other illnesses. So you have to make sure their breathing and heart rate are stable to help buy time to diagnose the underlying problems.

If a person is drugged or intoxicated and unconscious, they could aspirate their own vomit. That could lead to pneumonia or suffocation. Or they could smother. Also, it is possible that whatever is causing an altered mental state may also cause breathing difficulties.

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Q: What is the importance of appropriate airway management in a patient with an altered mental status?
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