Psychiatrymiddle twist
Police bring a 54-year-old man to the emergency department at 2 am after he shouted at passing cars and swung at an officer. He is known to the mental health service with schizophrenia and stopped his aripiprazole a month ago. He is sweating, will not sit and answers in irritable single words. His breath does not smell of alcohol. Pulse 108/min, blood pressure 150/85 mmHg, respiratory rate 20/min, temperature 36.6 degrees C, oxygen saturation 98 percent on room air. He lets the nurse hold his hand. Which one of the following should you do first?