Agitated Patient

The medical students arrive to assess a patient who was recently brought up to the floor from the emergency department for acute pancreatitis. He is a middle-aged male actively trying to get out of a hospital gurney. He is diaphoretic, agitated, and ripping off his leads. The medical students have to verbally redirect the patient to get back into bed. He is tremulous and appears to be responding to stimuli that are not present. They obtain a set of vital signs with the help of a bedside nurse (NPC) and find that the patient is hypertensive and tachycardic. The medical students identify that the patient is in severe alcohol withdrawal and treat him with benzodiazepines. The patient’s agitation improves but he complains of headache, abdominal pain, and nausea. He begins to vomit, which prompts the learners to ask for an antiemetic, suction, and roll the patient on his side. After the vomiting episode the patient remains tremulous, diaphoretic, complaining of palpitations, prompting the learners to obtain an EKG. They identify atrial fibrillation in the 140s and confirm that blood pressure is stable. They provide fluid resuscitation and continue to treat with benzodiazepines.

Additional information

Contributor

Georgian College

Language

English

Status

Coming Soon