Acute Agitation Flashcards
1
Q
When is restraint appropriate?
A
Where use of the Mental Health Act is appropriate (danger to themselves or others)
To fulfil duty of care (to patients, staff, etc)
2
Q
What agents are typically used to achieve chemical restraint?
A
Benzodiazepines (diazepam, midazolam, lorazepam, clonazepam)
Neuroleptics (haloperidol, droperidol, olanzapine)
3
Q
How should benzodiazepines be administered for chemical restraint if possible? Why?
A
IV; allows titration to response
4
Q
What is the main risk with use of benzodiazepines for chemical restraint?
A
Respiratory depression
5
Q
What risks exist with use of olanzapine to achieve chemical restraint?
A
Prolonged QT interval
Dystonic reaction including laryngospasm
6
Q
How do benzodiazepines and neuroleptics interact?
A
May be synergistic
