In the case of a pediatric patient with altered mental status, the use of a coma cocktail (i.e., thiamine, intravenous glucose, and naloxone) without evidence to support the presence of hypoglycemia or opiate overdose is appropriate.

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The use of a coma cocktail in a pediatric patient without evidence to support hypoglycemia or opiate overdose is not appropriate and can lead to unnecessary treatment and potential harm. The underlying cause of altered mental status should be identified and treated accordingly.

In the Case of a Pediatric Patient with Altered Mental