Collateral history should always be taken in patients presenting with a reduced level of consciousness. Relying solely on investigations can lead to misdiagnosis.
Tirzepatide could precipitate Euglycaemic ketoacidosis and result in profound transient neurological symptoms and severe renal failure requiring RRT.
Severe Euglycaemic Ketoacidosis can be treated with the use of IV Insulin and IV Dextrose.