Abstract
A 53-year-old woman with a history of chronic obstructive pulmonary disease, epilepsy, hypertension, and alcohol abuse presented after getting a burn injury on her lap from spilling boiled water. She reported 3 vodka drinks daily. Her medications included valproic acid, sertraline, isosorbide mononitrate, omeprazole, and loratadine. Her blood pressure was 133/84 mm Hg, and her pulse was 98/min. On physical examination she was drowsy but followed commands and had moist mucus membranes, jugular venous pressure of 6 cm of H2O, clear bilateral airway movement, and no pedal edema.
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