Table 1.
Time | Medication name, dose, and route | Behavioral observations |
---|---|---|
1720 | Approximate time of presentation to our emergency department | Extremely aggressive, threatening, and offensive behavior and language |
1726 | Ziprasidone 20 mg IM, lorazepam 2 mg IM | |
1730 | Lorazepam 2 mg IM | |
1740 | Zuclopenthixol acetate 150 mg IM, benztropine 2 mg IM | |
1805 | Lorazepam 2 mg IV | Vital signs and IV access obtained, blood sampled |
1830 | Droperidol 10 mg IM | Verbally abusive, threatening, aggressive |
2230 | Ziprasidone 20 mg IM | |
2300 | Lorazepam 2 mg IV | |
0100 | Sedated and quiet | |
0400 | Droperidol 10 mg IM, Lorazepam 2 mg IV | Yelling, abusive, shaking bed, threatening staff |
0600 | Sedated but intermittent abuse and threats | |
1120 | Ziprasidone 20 mg IM | |
1300 | Droperidol 25 mg IM | Acute arousal, combative during transport to psychiatric ward |
IM intramuscular, IV intravenous