Acute Agitation

Question 1

markers of increasing agitation?

Answer 1

demanding
raised voice
using more resources
clenching fists

Question 2

how to de-escalate situation?

Answer 2

arms open
don’t raise voice
offer a drink/coffee

Question 3

during agitation, what should you not do?

Answer 3

don’t refuse

dont’ threaten

Question 4

what is a good tip for managing agitation prior to escalation?

Answer 4

setting boundaries early: with this kind of injury, we need psych to see you and we’re obligated to do this assesssment, we can’t discharge until they see you and unfortunately if you leave we’ll need to call security and perhaps the police if necessary.

Question 5

when is restraint appropriate? which act?

Answer 5

via mental health act

• if at risk to self or others
• no decision making capacity

Question 6

classic 2 kinds of chemical restraints used?

Answer 6

Benzodiazepines
-diazepam or midazolam
Neuroleptics
-haloperidol, droperidol

Question 7

risks with benzos?

Answer 7

respiratory depression

Question 8

olanzapine compared to haloperidol?

Answer 8

less sedating

Question 9

risks of haloperidol?

Answer 9

dystonia, rigidity, laryngospasm