neopulsar
Forum Senior
Topics: 13
Posts: 82
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Don't remember the q exactly;
Alzheimer patient with very poor baseline function, comes for night time disorientation, what to do?
Restrain at night
Chloral hydrate
Benzo
Haloperidol
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| neopulsar
Forum Senior
Topics: 13
Posts: 82
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Err, I think I found the answer...there's a similar question in uw; it's haloperidol...also specified never to use benzo-
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| drshvetasm
Forum Elite
Topics: 22
Posts: 274
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oh ok...thanx...would have marked haloperidol but didnt know tht benzo's were a no-no
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| drshvetasm
Forum Elite
Topics: 22
Posts: 274
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probably coz of poor generalised functioning as u said and in general depression of cognitive functioning ....oh yeah ....benzo's also have confusion has a side effect..hehehe
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| LBheartsGU
Forum Newbie
Topics: 1
Posts: 4
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This is the question...
Emedicine says increase lighting to help w disorientation, I dont know which is right, either a or d
A 75-year-old man with a 3-year history of progressive cognitive impairment due to dementia, Alzheimer's type, has had nocturnal disorientation for 2 weeks. He lives at home with his wife. He is otherwise healthy and takes no medications. Physical examination shows normal findings. He is disoriented to time and place, has poor short-term memory, is unable to do simple arithmetic, and has a poor understanding of general information. Which of the following is the most appropriate initial step in management?
A ) Increase in home nighttime lighting
B ) Prescription for chloral hydrate
C ) Prescription for diazepam
D ) Prescription for haloperidol
E ) Use of nighttime mechanical restraints
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| macintosh
Forum Elite
Topics: 38
Posts: 178
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I pick A (i.e. Increase in home nighttime lighting)
Providing structured environment.
By the way, I would like to know why giving haloperidol to an alzheimer patient is the appropriate answer.
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