Cardiac arrhythmias: ST segment and T wave changes usually related to electrolyte imbalances
Severe bradycardia: Below 50 beats per minute
Hypothermia: Body temperature below 96.8
Hypotension: A pattern of low blood pressure or orthostatic hypotension (20 mm Hg or greater drop in systolic blood pressure with positional changes and pulse rate increase by 20 or more beats per minute)
Pay special attention to color and integrity of teeth. Abnormal wear and color can indication corrosion from excessive vomiting.
Include dietary history, substance use history, family assessment, and medication history