Physical and Chemical Restraint in the Emergency Room

For the aggressive patient with minimal pain, dexmedetomidine is an appropriate analgesic to administer to a patient

With urinary or gastrointestinal obstruction

That is unapproachable/aggressive

With a history of cardiac problems

With head trauma

For patients presenting with head trauma, oral/tracheal/esophageal foreign body, administering an opioid to relieve discomfort, in addition to which of the following, is essential?

Meperidine

Acepromazine

Maropitant

Dexmedetomidine

For the aggressive feral cat with unknown history requiring chemical restraint prior to examination, which of the following regimens is recommended for IM administration

Alfaxalone + morphine + midazolam

Dexmedetomidine + alfaxalone

Alfaxalone + methadone + midazolam

Any of the above

For patients presenting with an injury resulting in severe neuropathic pain, which analgesic listed below is specifically recommended in a multi-modal regimen?

Fentanyl

Morphine

Ketamine

Methadone

Which of the following confers some bronchodilation, decreased vagal tone & anti-proinflammatory effect in the presence of immune-stimulation

Ketamine

Gabapentin

Amitriptyline

Midazolam

Stuporous, shock patients still feel pain

True

False

Which of the following two medications have a low tendency for nausea & vomiting

Methadone & fentanyl

Fentanyl & morphine

Hydromorphone & methadone

Morphine & hydromorphone

Which of the following is not recommended for the control of aggressive pregnant, lactating or pediatric patients,

Dexmedetomidine

Methadone

Fentanyl

None of the above

Titration vs bolus of Naloxone is essential when reversing opioid adverse effects

False

True

Which of the following medications can you suggest for induction of anesthesia for the unstable patient?

Ketamine

Alfaxalone

Etomidate

Propofol

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Physical and Chemical Restraint in the Emergency Room