Agitated patient/excited delirium syndrome

Question 1

Which of the following is a recommended step in managing an agitated patient with possible Excited Delirium Syndrome?
a) Attempt to calm the patient down
b) Use the least restrictive method of restraint
c) Apply Ice packs to the neck, axillae, and groin areas
d) Ensure a maintainable airway
E) All of the above

Answer 1

Answer: all of the above

Question 2

What is the recommended initial dose of ketamine for chemical restraint in an agitated patient, if indicated and available?
a) 2 mg/kg IM
b) 4 mg/kg IM
c) 6 mg/kg IM
d) 8 mg/kg IM

Answer 2

4 mg/kg IM; maximum dose 400 mg

Question 3

In the absence of ketamine or if the patient becomes agitated after its effects wear off, what medication can be administered intravenously to manage agitation?
a) Lorazepam (Ativan)
b) Morphine sulfate
c) Sodium bicarbonate
d) Midazolam (Versed)

Answer 3

Answer: d) a and d are correct

Question 4

What is the maximum total amount of morphine sulfate that should be given to an agitated patient for managing agitation and/or pain?
a) 10 mg
b) 15 mg
c) 20 mg
d) 25 mg

Answer 4

Answer: c) 20 mg