A patient who is receiving mechanical ventilation in the ICU is found to be wildly agitated. The most appropriate drug to control this delirium is which of the following?
a. Propofol
b. Fentanyl
c. Haloperidol
d. Lorazepam
ANS: C
Neuroleptics, such as haloperidol, are routinely used to treat patients demonstrating extreme agi-tation and delirium. Propofol is a general anesthetic used for sedation. Fentanyl is a synthetic opioid that is approximately 100-150 times more potent than morphine. Lorazepam (Ativan) is the drug of choice for sedating mechanically ventilated patients in the ICU for longer than 24 hours.
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