maojemes
Forum Newbie
Topics: 6
Posts: 8
|
A 32 year-old successful female lawyer in a ball gown is dropped off at the emergency room. She complains of an unusual sensation in her
chest and recently had a nose bleed. She is irritable and talks about "Iiberals," trying to shut her office down because she "stands for what is
right." She explains being dropped off at the emergency room as a conspiracy against her. She reports that tonight's party was to celebrate
her promotion to full partner. She throws her supper tray across the room and says "Oh please, you don't think l would be so stupid as to eat
that, I know what you are up to." When interviewed, she refuses to speak to the doctor who enters and then lunges at the "jealous hag trying to
frame her." The patient refuses vital signs but is noted to have mydriasis.
The patient responds very little to the first medication, but begins pacing and ranting at the nurses. When a police officer appears, she attacks
her when she hallucinates and hears a voice saying the officer is "really working for the other side." Which of the following is the most
appropriate pharmacotherapy?
A. Amitriptyline
B. CIonazepam
C. Cyproheptadine
D. Haloperidol
E. Propanolol
|
| linaorvos
Forum Elite
Topics: 47
Posts: 258
|
b?
|
| Justice
Forum Fanatic
Topics: 100
Posts: 1,890
|
D. Haloperidol
___________________
Don't live in a town where there are no doctors
|
| CocaCola
Forum Guru
Topics: 35
Posts: 908
|
D - cocaine induced psychosis - needs an antipsycotic med -> Haloperidol
___________________
There is one thing we can do, and the happiest people are those who can do it to the limit of their ability. We can be completely present. We can be all here. We can give all our attention to the opportunity before us!!!
|
| lq2006
Forum Elite
Topics: 43
Posts: 382
|
Haloperidol
|
| inkspot
Forum Guru
Topics: 26
Posts: 554
|
D:
cocaine : bugs crawling, paranoid schizo psychosis, nose bleeds.
Tx: benzodiazepams
if psychosis as in this pateint: then short course of antipsychotics eg haloperidol.
UW says: Never give propranlol to cocain abusers even in setting of ischemia or MI ( hard fact to digest though )
___________________
Aagae Aagae Dekho hota hai kiya !!!
|
|
| |
| | | | | | |
