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bluemoon

An agitated man on a medical ward is agitated and has rigidity, what would you Rx

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An agitated man on a medical ward is agitated and has rigidity, what would you Rx

a- haloperidol as required

b- lorazepam as required

c- short course of haloperidol

d- short course of lorazepam

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PRN Lorazepam

Edited by Afterlife

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what's the diagnosis in this question?

i thought the original was delirium...in which case you wouldn't use benzo's

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Occasionally you can use Benzos in delirium. Preferrably not but exceptionally yes.

In DT you only use Benzos + vitamins

In this case there is rigidity, so you can't give Haloperidol.

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so with this scenario that came up originally - is the diagnosis delirium? It just seem's there isn't a lot of information there to point you in the direction as to what you're treating

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Even if it is delirium you can give Lorazepam. It is a relative contraindication but not an absolute contraindication. I know benzos worsen delirium but occasionally you end up using them if there is not other resort.

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In a psych setting confusion + agitation + rigidity = neuroleptic malignant syndrome.

So no antipsychotics.

Instead:

Cooling.

Dantrolene.

Benzos.

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In a psych setting confusion + agitation + rigidity = neuroleptic malignant syndrome.

So no antipsychotics.

Instead:

Cooling.

Dantrolene.

Benzos.

Thanks FS

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