A 32-year-old man with schizophrenia and a history of violence and distressing auditory hallucinations was a ward with aggressive behavior and has already smashed his room. He is refusing any oral meds.
What is the s appropriate injection?
A . Flupenthixol
B . Risperidone
C . Haloperidol
D . Fluphenazine
Answer: B
Explanation:
Protocol of treating agitated violent patient.
Try to talk to the patient but don’t touch him.
If he agrees on oral meds, give oral atypical antipsychotics olanzapine, risp or quetiapine
If refusing oral, give IV atypical antipsychotics preferably its Olanzapine or Risperidone
If agitation not controlled give IM Lorazepam
If that doesn’t work, give IV Haloperidol as last resort.
If acute sedation is required, for immediate effect give IV Diazepam.
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