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The Curbsiders Internal Medicine Podcast
#446 Psychiatry Primer for the Hospitalist
Jul 1, 2024
Join Dr. Aaron Gluth from Emory University as he discusses managing co-morbid psychiatry conditions on the wards. Topics include multidisciplinary team roles, agitation management, capacity issues, mortality gap, and transitions of care. Learn about lab workup, imaging considerations, and treating agitation in hospitalized patients with psychiatric conditions.
01:05:21
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Quick takeaways
- Consider individualized treatment options for agitation beyond redirection, including medications like ziprasidone and chlorpromazine.
- Navigate ethical dilemmas by assessing autonomy, capacity, and involving surrogate decision-makers for the best course of action.
Deep dives
Agitation Management and Options
When dealing with agitation, it's crucial to consider individualized treatment options beyond redirection. Medications like haloperidol, lorazepam, and diphenhydramine are common choices, but alternatives like ziprasidone, chlorpromazine, or oral/sublingual medications can be considered. Taking into account patient specifics such as age and comorbidities can help tailor the approach effectively.
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