Based on the patient’s presentation, select whether each sym…
Based on the patient’s presentation, select whether each symptom is more consistent with excited delirium or an acute manic episode. Scenario:Dispatch reports a 48-year-old male with altered mental status. His wife states he is paranoid, agitated, and “acting crazy”. He has a known history of bipolar disorder. Police are on scene. On assessment, the patient is tachycardic, diaphoretic, paranoid, and disoriented with pressured speech. He has not eaten or slept in two days and is pacing. Vitals show a heart rate of 120(irregular), BP 160/90 mmHg, RR 24. Skin is hot and sweaty, pupils are dilated.