Question

A consult is requested for an inpatient on a medical ward who is agitated and hallucinating. Pt appears to be flushed and hot with dry skin, mydriasis, a rapid pulse and diminished bowel sounds. What is your first recommendation?

Answer 1

The first recommendation for the patient in this case would be to seek immediate medical attention at the emergency department because the symptoms suggest anticholinergic syndrome.

Step-by-step explanation:

The symptoms mentioned in the question, including agitation, hallucinations, flushed and hot appearance, dry skin, mydriasis, rapid pulse, and diminished bowel sounds, suggest a medical emergency known as anticholinergic syndrome or anticholinergic toxicity. This occurs when there is an overdose or excessive use of medications with anticholinergic properties, such as certain antihistamines, antidepressants, and antipsychotics.

The first recommendation for the patient in this case would be to seek immediate medical attention at the emergency department. The patient would require close monitoring, supportive care, and potential treatment with specific antidotes depending on the underlying cause and severity of symptoms.

It is important to emphasize that this is a medical emergency and should not be managed at home. Prompt medical intervention is crucial to prevent potential complications and ensure the patient's well-being.