SAQ 111 – Toxicology – methamphetamine agitation

Review Completed

Marked out of 12.00

A 26-year-old man presents four hours after a recreational drug binge. A friend reports heavy methamphetamine use.

List four examination findings that may be seen with methamphetamine intoxication.

(Marked out of 4.0)

/ 4

The patient refuses ongoing assessment and requires chemical sedation. Complete the table with your preferred drug regimen for each circumstance, including drug, dose, and route.

(Marked out of 3.0)

Clinical circumstance	Drug, dose, route
Will accept oral medication
Refuses oral medication, moderate agitation
Refuses oral medication, severe agitation requiring urgent control

/ 3

He is sedated without ongoing physical restraint and no organic pathology is found. List five key components of ongoing care.

(Marked out of 5.0)

/ 5

Total Score: 0 / 12

Percentage: 0%

Circumstance	Options
Accepts oral treatment	Lorazepam 2 mg orally, or diazepam 20 mg orally.
Refuses oral medication with moderate agitation	IM midazolam 5-10 mg, IV diazepam 2.5-5 mg, IM ziprasidone 20 mg plus lorazepam 2 mg, or IM olanzapine 10 mg.
Refuses oral medication with severe agitation requiring urgent control	IM or IV droperidol 5-10 mg, or IM ketamine 4 mg/kg.

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