Allison Clemens
April
ababaabhay
achoi2392
adhoward1

Show more

Management of Acute Agitation in the Emergency Department Disease State Considerations

Lesson 7 of 9

In Progress

← Previous

Disease State Considerations

Elderly 🡪 Low-dose SGA d/t minimal QTc effects
- Caution – benzodiazepines
  - Prolonged sedation, paradoxical agitation, deliriogenic
- Caution – first-generation antipsychotic
  - With anticholinergic, can exacerbate constipation/urinary retention and worsen agitation
Dementia 🡪 SGA or benzodiazepine
- Caution – first-generation antipsychotic
  - If dementia related to Parkinson’s disease, can worsen symptoms

Alcohol 🡪 FGA or SGA
- Caution – benzodiazepines
  - Concurrent respiratory depression
Psychiatric illness 🡪 SGA
- Addresses psychosis and underlying disease state
Drug intoxication/withdrawal 🡪 benzodiazepine or FGA/SGA
- Differentiate between agitation d/t EtOH intoxication or withdrawal