05-03-2008, 09:20 AM
A 25-year-old man who was recently admitted to a
psychiatric hospital with the diagnosis of severe depression
complicated by psychosis is brought to the emergency
room because of worsening mental status and fever.
The patient is unable to give a history because he is profoundly
confused and claims to be on Mars. The psychiatrist
informs you that the patient has been started recently
on haloperidol and amitriptyline. Physical findings include
a rectal temperature of 40.6C (105F), muscle rigidity,
and dry skin. A cooling blanket is ordered, and you
administer acetaminophen. Which of the following agents
would be most appropriately ordered at this time?
(A) Bromocriptine
(B) Atropine
© Levarterenol
(D) Chlorpheniramine
(E) Methylprednisolone
psychiatric hospital with the diagnosis of severe depression
complicated by psychosis is brought to the emergency
room because of worsening mental status and fever.
The patient is unable to give a history because he is profoundly
confused and claims to be on Mars. The psychiatrist
informs you that the patient has been started recently
on haloperidol and amitriptyline. Physical findings include
a rectal temperature of 40.6C (105F), muscle rigidity,
and dry skin. A cooling blanket is ordered, and you
administer acetaminophen. Which of the following agents
would be most appropriately ordered at this time?
(A) Bromocriptine
(B) Atropine
© Levarterenol
(D) Chlorpheniramine
(E) Methylprednisolone