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?

    <p>$20$ mg</p> Signup and view all the answers

    When should OLMC be considered in managing disruptive behavior?

    <p>If disruptive behavior persists after maximum medication doses</p> Signup and view all the answers

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

    <p>$12$-lead ECG, BGL, SpO2</p> Signup and view all the answers

    What should be considered when using chemical or physical restraints?

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

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

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

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

    <p>It causes less delirium compared to midazolam</p> Signup and view all the answers

    What are dystonic reactions usually characterized by?

    <p>Involuntary muscle contractions</p> Signup and view all the answers

    When should half doses be administered to patients?

    <p>For patients 65 years of age or older</p> Signup and view all the answers

    Why are minimum medications used during restraint situations?

    <p>To minimize harm to staff and patients</p> Signup and view all the answers

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