A 55-year-old man known to have psychiatric disease and hypertension was admitted to the hospital due to poor nutrition at home, as he was refusing food. During hospitalization, he... A 55-year-old man known to have psychiatric disease and hypertension was admitted to the hospital due to poor nutrition at home, as he was refusing food. During hospitalization, he became agitated, so they increased the dose of Haloperidol. Suddenly, he became confused and began sweating. He was shifted to the ICU, started on IV fluids, and intubated (see lab result). Which of the following should be added to the management plan? A. Naloxone B. Glucagon C. Meropenem D. Bromocriptine
Understand the Problem
The question describes a patient case and asks which medication should be added to the management plan. It focuses on the patient's psychiatric condition and current treatment, along with specific options provided for management.
Answer
Bromocriptine.
The final answer is Bromocriptine.
Answer for screen readers
The final answer is Bromocriptine.
More Information
The symptoms of confusion and sweating after haloperidol increase suggest neuroleptic malignant syndrome (NMS). Bromocriptine, a dopamine agonist, can be used to manage NMS by counteracting dopamine blockade caused by antipsychotics.
Tips
A common mistake is not recognizing the signs of NMS and not knowing the treatment options like bromocriptine or dantrolene.
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