viagra
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A 50-year-old man presents to an emergency clinic complaining of the onset, over the past day, of bilateral tremor in his hands, diaphoresis, anxiety, headache, and the sensation that "my skin is crawling". He denies other symptoms. His medical history is significant only for hypertension, for which he takes hydrochlorothiazide. He states that he sees a psychiatrist for bipolar disorder and anxiety, and that he takes three medications prescribed by the psychiatrist, the names of which he can not remember. He ran out of his medications three days ago, and he has an appointment for his primary care physician and his psychiatrist tomorrow.
His temperature is 37 C (98.6 F),
blood pressure is 150/100 mm Hg,
pulse is 115/min, and
respirations are 20/min. Physical examination is notable for diaphoresis and tremulousness. Administration of which of the following is the most appropriate initial step in this patient's care?
a)Clonidine
b)Haloperidol
c)Hydrochlorothiazide
d)Lorazepam
e) Prochlorperazine
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| viagra
Forum Newbie
Topics: 1
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hint ..think the withdrawl sxs!!!!!
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| cirus
Forum Guru
Topics: 108
Posts: 740
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Haloperidol
aggitated pts with hist of Mood or schizophrenia---> Haloperidol
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| dr_arc
Forum Senior
Topics: 5
Posts: 156
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? D lorazepam. the guy is probably having benzo withdrawal , was probably taking it for his anxiety. i am not aware of any of the bipolar meds causing withdrawal but benzo can so give him lorazepam to see him thru the day till he goes to his primary care doc and psy for his assesment and refill meds,
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| gr8doc
Forum Senior
Topics: 8
Posts: 210
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This looks like the alcohol withdrawl to me. & I think Lorazepam is the Drug here.
What is the right answer Viagra?
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| Almightyhelpme
Forum Newbie
Topics: 2
Posts: 20
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Lorazepam sounds good and I think lorazepam is the answer...though all the sx point towards alcoholic withdrawal---delirium tremens...... crawling sensation, diaphoresis, anxiety, tremor, ----
Actually, BZD withdrawal also presents witha simnilar picture--- as tremors , diaphoresis and stuff like that ----- It can also present as a delirium tremens like picture as mentioned in wikipedia...... so Lorazepam still is the answer.....
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| lakshya_0_7
Forum Elite
Topics: 24
Posts: 306
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alcohol or BZD...ans is the same lorazepam....but alcohol is unlikely..coz he has no history of alcohol abuse
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| elitoki
Forum Guru
Topics: 54
Posts: 508
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Agree with D Lorazepam 
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