Approach to stimulant use, intoxication, and overdose Quiz: Ace Your Exams
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A 29-year-old man is brought to the emergency department for a 3-hour history of agitation and chest discomfort. The patient was found pacing and shouting at home by a friend, who reports that the patient had “taken a bunch of something at a party to stay awake.” There is no known medical history. Temperature is 38.3°C (100.9°F), pulse is 128/min, respirations are 22/min, and blood pressure is 162/98 mmHg. Cardiopulmonary exam reveals tachycardia. Mental status exam shows hypervigilance, pressured speech, and persecutory delusions. ECG shows sinus tachycardia with a QTc of 480 ms. Urine drug screen is positive for amphetamines. Which of the following is the most appropriate next step in management?
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