Patient came to nursing window with a nosebleed and standard actions were initiated to stop nosebleed. While at the nurse’s station, her demeanor changed and the patient stated, “I feel dizzy.” Patient was instructed to have a seat and to take deep breaths, was given fluids. The nurse reports the patient’s condition started to look worse with more dizziness, staring gaze, paling skin, patient becoming diaphoretic, and patient seeming to have an altered level of consciousness but would respond to a loud voice. All vitals within normal limits. The patient was sent to hospital for further evaluation.