An older adult patient with frequent premature ventricular contractions (PVCs) is receiving intravenous (IV) lidocaine (Xylocaine) by continuous infusion. The patient becomes confused and sees insects on the walls. What is your best action?
a. Reorient the patient to person, place, and time.
b. Ask the patient's family about alcohol use or abuse.
c. Check the patient's chart for a history of dementia.
d. Slow the infusion and notify the prescriber immediately.
ANS: D
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