A 49-year-old man arrives as ESI 2 with severe agitation after using methamphetamine. BP 196/106, HR 152, temperature 39.8 C. He is diaphoretic and

Question

A 49-year-old man arrives as ESI 2 with severe agitation after using methamphetamine. BP 196/106, HR 152, temperature 39.8 C. He is diaphoretic and combative with CK 4200 U/L. Which of the following is the most appropriate initial action?

Accepted Answer

Administer benzodiazepines, active cooling, and IV fluids

Answer

Start beta-blocker monotherapy

Answer

Give naloxone

Answer

Give haloperidol as sole therapy and physically restrain for hours

Answer

Discharge after oral hydration

Severe agitation with stimulant intoxication — ABEM Board MCQ

A 49-year-old man arrives as ESI 2 with severe agitation after using methamphetamine. BP 196/106, HR 152, temperature 39.8 C. He is diaphoretic and combative with CK 4200 U/L. Which of the following is the most appropriate initial action?