Approach to Disruptive Behavior in Healthcare Settings

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12 Questions

What is the first step in approaching disruptive behavior?

Verbally attempting to diffuse the situation

Which medical condition is NOT mentioned as a potential cause of disruptive behavior?

Diabetes

What medication should be administered to a patient over 65 years old for disruptive behavior?

Haloperidol 5 mg IM every 15 minutes

What is the maximum total dose of midazolam that can be given to a patient under 65 years old?

$20$ mg

When should OLMC be considered in managing disruptive behavior?

If disruptive behavior persists after maximum medication doses

In which order should the following be obtained for a patient with aggressive behavior?

$12$-lead ECG, BGL, SpO2

What should be considered when using chemical or physical restraints?

Pre-plan intervention procedure with law enforcement/security personnel

What should be done if a patient is hyperthermic during restraint?

Initiate active cooling procedures and bolus 1 – 2 L of normal saline

Why is Haloperidol considered the first line drug of choice for patients over 65 years of age?

It causes less delirium compared to midazolam

What are dystonic reactions usually characterized by?

Involuntary muscle contractions

When should half doses be administered to patients?

For patients 65 years of age or older

Why are minimum medications used during restraint situations?

To minimize harm to staff and patients

Learn about the appropriate approach to handling disruptive behavior in healthcare settings, including requesting back-up, ensuring law enforcement attendance when necessary, diffusing the situation verbally, and more. Explore how to consider and treat medical causes of disruptive behavior.

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