Your patient is a 29-year-old male who is conscious, alert, and extremely hyperactive after using cocaine. HR = 134, BP = 148/102, RR = 20. Physical examination reveals warm, diaphoretic skin and dilated pupils bilaterally. Which of the following medications should be considered to manage this patient?
A) Metoprolol
B) Naloxone
C) Propranolol
D) Diazepam
Question 2
You have arrived on the scene of a sexual assault. The victim is a 21-year-old female. She is at home and very distraught. She tells you that she does not feel she is hurt and that she wants to take a shower before being examined because she feels dirty. What is the appropriate reaction?
A) Tell the patient sternly to go nowhere and wait for the police.
B) Advise the patient to save the clothes she was wearing in a plastic bag and to clean up.
C) Tell the patient that she will lose all chance of convicting her attacker if she does something silly like that.
D) Advise the patient that it is imperative that she have a certified technician, such as a SANE nurse, examine her and that bathing can remove or destroy evidence.
Male (Bull) Roosevelt Elk at Northwest Trek, Washington, USA
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