Question

A 20-year-old women is brought into the emergency department by ambulance after her friends noted that she was acting paranoid at a party. The patient was confused and could not give any history. She is repetitively grinding her teeth and biting her lower lip (movement known as bruxisms).

Her examinationreveals a heart rate of 123 bpm and a blood pressure of 150/95 mm Hg. Her skin is moist, and her pupils are dilated. She is awake but delirious and highly agitated. Her friends that called 911 reported to the police that she had told them that she had taken one "hit" of ecstasy (designer amphetamine). The patients friends report that she has a history of depression and is taking Selegiline for treatment.

3) What would be the treatment that you may undertake in this case? There may be a number of correct treatments so make sure to explain why you have picked the specific course of action that you did for her treatment.

Answer 1

Answer :

• Amphetamine is a central nervous stimulant .it is used in results in an increase in certain types of brain activity , resulting in an feeling of higher energy , focus , confidence and euphorea .
• In above case , a20 years old women brought to emergency department due to her behaviour .
• In above case ,she is having depression and she is taken amphetamine .
• The amphetamine is contraindicated in depression , so she is having severe adverse effects when she taken amphetamine .
• Treatment : sedation and observation is needed For the client in emergency department , if the symptoms are decreases then shift to recovery room or ward For observation.
• Sedation : provide oral or iv medications sucha s benzodiazepines.
• Iv fluids to decrease dehydration .
• In severe cases : life saving techniques such as ABC as priority.