SAQ 758 – Geriatrics – agitation, delirium and severe hyponatraemia

A 76-year-old man is brought to the ED from a nursing home with increasing confusion and agitation.

He has assaulted another resident.

List two (2) medications and dose ranges you would consider for ED agitation, and list two (2) potential adverse effects for each drug.

(Marked out of 8.0)
</p> <table class="saq-prop-table" style="width:100%; max-width:100%; table-layout:fixed; overflow-wrap:anywhere; word-break:break-word;"> <thead> <tr> <th>Item</th> <th>Medication, dose and adverse effects</th> </tr> </thead> <tbody> <tr> <td>1</td> <td>Medication and dose:<br />Adverse effect 1:<br />Adverse effect 2:</td> </tr> <tr> <td>2</td> <td>Medication and dose:<br />Adverse effect 1:<br />Adverse effect 2:</td> </tr> </tbody> </table> <p>

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List three (3) history elements that may help distinguish delirium from dementia.

(Marked out of 3.0)

/ 3

The biochemistry below is available. List three (3) investigations that would help determine the cause of the electrolyte imbalance.

(Marked out of 3.0)

Biochemistry

Test	Result (ref)
Na	112 mmol/L (135-145)
K	4.0 mmol/L (3.5-5.2)
Cl	79 mmol/L (95-110)
Bicarbonate	21 mmol/L (22-32)
Urea	3.1 mmol/L (2.8-7.2)
Creatinine	61 micromol/L (45-90)
eGFR	80 mL/min (>90)
BSL	6.3 mmol/L (3-7.7)

/ 3

Total Score: 0 / 14

Percentage: 0%