ChoiceHub
Sign in

An 81-year-old man is admitted with a fractured neck of femur and becomes inattentive and disorganised over 24 hours. His level of alertness fluctuates, but he has no fever, focal neurological signs or hypoglycaemia; his pain is controlled. Promethazine was commenced for sleep the previous evening, in addition to regular oxycodone, paracetamol and senna. Which one of the following is the most appropriate immediate action?

Shared by ChoiceHubcommon
DeliriumPolypharmacyHospital

More from Geriatrics and Palliative Care

See all

A 78-year-old woman becomes agitated and repeatedly pulls at her intravenous line on the second night after hip surgery. She alternates between asking where she…

5 choicescommonTry it →

An 82-year-old woman has fallen twice since her medicines were changed. She is slower when walking and has recently complained of constipation, blurred vision a…

5 choicescommonTry it →

A 74-year-old man is referred after three falls over two months. He describes a brief feeling of faintness after rising from a chair, without spinning sensation…

5 choicescommonTry it →

A 79-year-old man has fallen three times in two months, usually when walking to the toilet at night. He has slowed reactions and feels unsteady for several hour…

5 choicescommonTry it →

An 82-year-old woman becomes confused and unsteady over three days while being treated for depression and hypertension. She is euvolaemic, her serum sodium is 1…

5 choicescommonTry it →