Psychiatric and Behavioral Disorders

Question 1

Consider offering ___ or olanazapine (Zyprexa) ODT 10 mg for
severe agitation or anxiety

Answer 1

alprazolam (Xanax) 0.25 mg

Question 2

If Broset is greater than___ or verbal, physical threats or attacks on objects, then
physical restraint procedure MUST be initiated unless sedated to RASS of +1 or less.

Answer 2

3

Question 3

What does RASS stand for

Answer 3

Richmond Agitation Sedation Score

Question 4

If RASS score is ≥+2, attempt to determine cause of agitation (i.e. drug or alcohol
intoxication or withdrawal, medical or psychiatric problem) and consider ___

Answer 4

oral benzodiazepine or oral antipsychotic

Question 5

Repeat RASS score every __ minutes and at patient hand off to hospital.
Goal is RASS score of 0 to -1

Answer 5

10

Question 6

Haloperidol may cause postural hypotension, tachycardia, and acute ___

Answer 6

dystonic reactions

Question 7

Ziprasidone or haloperidol may induce ___ in patients with history of
prolonged QT or patients taking QT-prolonging drugs.

Answer 7

Torsades de Pointes

Question 8

Ziprasidone or haloperidol is preferred for patients with known psychiatric disorders.
___ is preferred for patients who are known or suspected to be under the influence
of stimulants or other intoxicants, who are in withdrawal, or who are postictal.

Answer 8

Midazolam

Question 9

RASS score ranges from 4 to -5. Describe 4 and three

Answer 9

4: Overtly combative to EMS. Dangerous to EMS
3:Verbal and physical uncooperative towards EMS