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Table 1 Medications administered to the patient in our emergency department and selected behavioral observations

From: Polysubstance-induced relapse of schizoaffective disorder refractory to high-dose antipsychotic medications: a case report

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

  1. IM intramuscular, IV intravenous