dr_jojo
| | 03/22/07 - 02:00 PM  
 
   
 
|   #1 |
17. A 47-year-old woman is brought to the emergency department by her husband because of hallucinations and agitation for 6 hours. She has a 10-year history of alcoholism. Her last alcoholic drink was 48 hours ago. She is agitated and inattentive. Her temperature is 38.3 C (101 F), blood pressure is 190/120 mm Hg, and pulse is 110/min. She is oriented to person but not to place or time. During the examination, she shrieks, "Make the lizards go away." Which of the following is the most appropriate initial step in management? A ) Electroencephalography B ) CT scan of the head C ) Intravenous ampicillin therapy D ) Intravenous haloperidol therapy E ) Intravenous lorazepam therapy
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| Aashi Forum Moderator

Topics: 113 Posts: 1,061
| | 03/22/07 - 02:05 PM  
 
   
 
|   #2 |
E) Intravenous lorazepam therapy
___________________ "Obstacles are those frightful things you see when you take your EYES off your goal."
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| Diego Casali Forum Elite

Topics: 7 Posts: 234
| | 03/23/07 - 07:33 AM  
 
   
 
|   #3 |
I agree with Aashi: this is a case of delirium tremens, which needs to be treated urgently with an IV benzodiazepine!
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| yasmeen Forum Guru
Topics: 70 Posts: 942
| | 03/23/07 - 09:10 AM  
 
   
 
|   #4 |
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