A 26-Year-Old Man Is Brought to the Emergency Department Due

question 196

Multiple Choice

A 26-year-old man is brought to the emergency department due to hallucinations.  The patient's mother reports that he was acting normally until a few hours ago when he started hallucinating that dogs were chasing him.  She states that the patient has a history of schizoaffective disorder that was difficult to treat and is currently taking clozapine and doxepin; however, she is worried about his mental health because he broke up with his partner yesterday.  Temperature is 38.3 C (100.9 F) , blood pressure is 140/80 mm Hg, pulse is 145/min, and respirations are 24/min.  Oxygen saturation is 97% on room air.  The patient is delirious and actively hallucinating.  His pupils are 6 mm and nonreactive.  No murmurs or gallops are present on auscultation of the heart.  Muscle tone and reflexes are normal.  What is the best next step in management?

• A)Administer a dopamine agonist
• B)Administer intramuscular haloperidol
• C)Electrocardiogram
• D)Electroencephalogram

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