QuestionSBA
QuestionChoice
SSRIs are not an option to manage acute aggression.
10034956
e
Sertraline
QuestionChoice
This scenario describes hyperactive delirium. In cases when pharmacological management is needed where there are acute risk concerns, lorazepam is preferred and haloperidol should avoided if there are Parkinsonian features such as in dementia with Lewy bodies as this can severely worsen their Parkinsonism.
10034952
a
Lorazepam
QuestionChoice
This may be an option later down the line, necessitating an ECG before administration to assess QT, but is not the first line.
10034954
c
Risperidone
QuestionChoice
This should be avoided in patients with Parkinsonism as it will worsen it.
10034953
b
Haloperidol
QuestionChoice
This should be avoided due to its anticholinergic properties which may worsen delirium and confusion.
10034955
d
Promethazine
Concept
Chapter
2693
6109
Delirium
Topic
332
Psychiatry
19394
In Lewy body dementia, lorazepam is preferred over haloperidol for managing delirium due to a lower risk of exacerbating Parkinsonism and neuroleptic sensitivity
A 75-year-old woman with a history of Lewy Body Dementia has been admitted to the care of the elderly ward following agitation and restlessness with a recent urinary tract infection. Her ward is finding her aggression difficult to manage as she is attempting to assault staff.

Which of the following is the most appropriate pharmacological treatment option?
a