Adult Protocol - 5 - Behavioral Emergency - Updated 2023.09.01

Question 1

Versed for excited delirium in adults

Answer 1

2.5-5 mg Versed IV/IO/IM/IN q3-5min; max dose: 10 mg

Question 2

Ketamine for excited delirium in adults

Answer 2

1 mg/kg IV over 1 minute; 3-5 mg/kg IM in only buttock/thigh

Question 3

What is the primary concern for excited delirium?

Answer 3

Cardiac arrest 2/2 hyperK from rhabdo

Question 4

What is preventative care for rhabdomyolysis in excited delirium?

Answer 4

500 mL/hr NS

Question 5

A key step in the initial management of behavioral emergency is _______.

Answer 5

Attempting calming techniques and/or treating underlying disease process that lead to behavioral emergency (ex: hypoglycemia, sepsis, etc.)

Question 6

For severe agitation, what pharmacological interventions exist?

Answer 6

• Ketamine
• Driperidol

Question 7

Droperidol for adult behavioral emergency

Answer 7

• 2.5 to 5 mg IV/IO
• 5 to 10 mg IM