A 75-year-old man is admitted to the hospital with community-acquired pneumonia. During his hospitalization,
A 75-year-old man is admitted to the hospital with community-acquired pneumonia. During his hospitalization, he begins to see vivid hallucinations, has increasingly impaired attention, and becomes progressively confused. He subsequently punches a nurse in his hospital room. His mental status is notable for being oriented to place but not time. He is unable to spell WORLD backward. A baseline ECG demonstrates a QTc interval of 490 msec. The patient continues to demonstrate aggressive behavior towards staff. Which of the following injectable antipsychotic medications would be considered safest, from a cardiac standpoint, to reduce aggressive behaviors at this time? Olanzapine (Zyprexa) Quetiapine (Seroquel) Risperidone (Risperdal) Ziprasidone (Geodon).
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