20 - agitated and violent patient

Question 1

agitated behavs

Answer 1

• motor activity - pacing
• verbal outbursts
• excessive talking
• irritability

Question 2

2 important safety concepts

Answer 2

1. safety of staff and patients

2. safety of agitated PT

Question 3

first line of intervention

Answer 3

verbal

Question 4

4 principles for physical restraints

Answer 4

1. as little as possible for as little time as possibe
2. document when used
3. reassess regularily
4. explain to family and friends

Question 5

3 basic principles for pharma restraints

Answer 5

1. offer oral first
2. establish safe environment before giving IM
3. beware of neuroleptic malignant syndrome

Question 6

2 main classes of drugs

Answer 6

1. benzos
   - diaz, loraz, midaz
2. neuroleptics - halperidol

Question 7

3 general causes of agitation

Answer 7

1. medical conditions
2. substance abuse
3. psych

Question 8

type of physical restraint to use

Answer 8

4 point - less injury than 2 point