A 88-year-old woman in a care home has developed increasing confusion over 3 days. She has a background of vascular dementia (MMSE 16/30 at baseline),...

Question

A 88-year-old woman in a care home has developed increasing confusion over 3 days. She has a background of vascular dementia (MMSE 16/30 at baseline), heart failure, and type 2 diabetes. Her 4AT score today is 9. She is pulling at her catheter and attempting to climb out of bed. Urinalysis shows leucocytes and nitrites. Temperature is 37.8°C. After treating the underlying cause, non-pharmacological measures for her agitation have been unsuccessful. What is the MOST appropriate pharmacological intervention?

Accepted Answer

Haloperidol 0.5 mg orally

Answer

Diazepam 2 mg orally

Answer

Chlorpromazine 25 mg orally

Answer

Midazolam 2.5 mg buccally

Answer

Promethazine 25 mg orally

uk-dgm MCQ (SBA): Pharmacological Management of Hyperactive Delirium