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 BOF 103

 

   

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BOF: 103

You are called in the night to see a patient who has become agitated on the orthopaedic ward. The patient had been brought in to casualty by the police having been found lying on the road. He had suffered a fracture of his humerus and the orthopaedic surgeons had managed him with a sling but they had been unable to discharge him because there were no social services available.

The history in the notes was sketchy as the patient had been uncooperative and there was no mention of past illnesses drugs or alcohol history or history of drug abuse.

On examination of the patient you note that he is agitated and confused. He keeps complaining that there are animals and insects attacking him. You are unable to examine him formally but you note that he is tremulous.

In this patient which one of the following would be your first line treatment?

a)      Diazepam

b)      Chlordiazepoxide

c)      Chlormethiazole

d)     Haloperidol

e)      Chlorpromazine

 

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