06-10-2007, 05:16 AM
A young man is found by the security guards outside the doors of the emergency room screaming and agitated. His blood pressure is 145/100 mm Hg, with a heart rate of 123/min, a temperature of 101.0 F, and a respiratory rate of 22/min. During the examination, the patient begins having a generalized seizure with urinary and fecal incontinence. The patient is intubated for airway protection, and the physical examination is continued. His pupils are dilated. His sodium is 143 mEq/L, with a creatinine of 0.9 mg/dL and a glucose of 126 mg/dL. Which of the following would be most useful for this patient?
(A) Propranolol
(B) Benzoylecgonine in the urine
© N-acetylcysteine
(D) Lumbar puncture and flumazenil
(A) Propranolol
(B) Benzoylecgonine in the urine
© N-acetylcysteine
(D) Lumbar puncture and flumazenil