A 78-year-old woman with advanced dementia in the last days of life becomes increasingly agitated and distressed, pulling at lines and shouting. Rever...

Question

A 78-year-old woman with advanced dementia in the last days of life becomes increasingly agitated and distressed, pulling at lines and shouting. Reversible causes have been addressed. What is the most appropriate pharmacological option for managing her agitation?

Accepted Answer

Midazolam subcutaneously as needed

Answer

High-dose haloperidol orally as first-line

Answer

Long-acting benzodiazepines orally

Answer

Large doses of morphine regardless of pain

Answer

No medication; physical restraint only

uk-plab-1 MCQ (SBA): Terminal agitation

A 78-year-old woman with advanced dementia in the last days of life becomes increasingly agitated and distressed, pulling at lines and shouting. Reversible causes have been addressed. What is the most appropriate pharmacological option for managing her agitation?