Case 2

A 44-year-old male presents to the ED complaining of painful spasm in his neck and face. He has a pulse of 100/min, BP 120/70, RR 18/min and appears agitated and distressed.

He admits to using ‘street diazepam’ earlier in the day. His past medical history is unremarkable other than a thyroidectomy last year.

How would you manage this patient, initially?

After 30 minutes, there has been no improvement in his condition. What would you do now?

Which of the following electrolyte abnormalities could explain his symptoms?

Select one or more options.

The patient’s symptoms resolve after the second dose of procyclidine and he wants to leave the department.

What would you do before discharging him?