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Hypoactive Delirium Underdiagnosis Danger — SCE Palliative Medicine MCQ

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HardPsychological & PsychiatricHypoactive Delirium Underdiagnosis DangerSCE Palliative Medicine

A dying patient has persistent anxiety and distress requiring first-step syringe-pump treatment. Which midazolam regimen is recommended?

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Correct answer: D — Midazolam 10–20 mg/24 hours plus 5 mg hourly PRN

D is correct. First-step treatment is midazolam 10–20 mg/24 hours plus 5 mg SC hourly as required, with review after clustered rescue use.

Reference: Scottish Palliative Care Guidelines: midazolam: https://www.rightdecisions.scot.nhs.uk/scottish-palliative-care-guidelines/medicines-information/midazolam-in-palliative-care/