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Approach to Disruptive Behavior in Healthcare Settings

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Approach to Disruptive Behavior in Healthcare Settings

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Questions and Answers

What is the first step in approaching disruptive behavior?

Physically restraining the patient

Ensuring law enforcement attendance

Obtaining a BGL and treating if hypoglycemic

Verbally attempting to diffuse the situation (correct)

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

Stroke

Head injuries

Diabetes (correct)

Hypoxia

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

Ketamine 1 mg/kg IM every 10 minutes

Haloperidol 5 mg IM every 15 minutes (correct)

Midazolam 5 mg SIVP/IO every 5 minutes

Ketamine 0.5 mg/kg SIVP/IO every 15 minutes

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

$20$ mg Signup and view all the answers

When should OLMC be considered in managing disruptive behavior?

If disruptive behavior persists after maximum medication doses Signup and view all the answers

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

$12$-lead ECG, BGL, SpO2 Signup and view all the answers

What should be considered when using chemical or physical restraints?

Pre-plan intervention procedure with law enforcement/security personnel Signup and view all the answers

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

Initiate active cooling procedures and bolus 1 – 2 L of normal saline Signup and view all the answers

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

It causes less delirium compared to midazolam Signup and view all the answers

Approach to Disruptive Behavior in Healthcare Settings

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Podcast

Questions and Answers

What is the first step in approaching disruptive behavior?

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

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

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

When should OLMC be considered in managing disruptive behavior?

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

What should be considered when using chemical or physical restraints?

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

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

What are dystonic reactions usually characterized by?

When should half doses be administered to patients?

Why are minimum medications used during restraint situations?

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