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22. A 24-year-old man is brought to the emergency department by police 1 hour after his ex-wife
found him stumbling around in the yard. His blood pressure is 100/70 mm Hg, pulse is 90/min, and
respirations are 16/min. The pupils are equal and reactive to light; the sclerae are injected. During
the examination, he laughs without obvious reason, makes religious statements, and asks if there is
anything to eat or drink. Mental status examination shows a broad range of affect; there is no
evidence of thought disorder except for mild paranoia. Which of the following is the most
appropriate next step in management?
) Observation in the emergency department
) Intramuscular administration of naloxone
) Intravenous administration of 50% dextrose
) Intravenous administration of lorazepam
) Oral administration of chlorpromazine
this is marijuana..isnt it?
patient is not tht agitated..so y lorazepam? why not a?
A - wait, observe, offer patient something to eat/drink (obviously he is hungry and thirst ;-), as long as the patient is not agitated/aggressive...
Injected sclerae = key word for marijuana.
Patient not agitated, A
D.Lorazepam , is given in low dose
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