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How do you approach agitation management, especially the use of neuroleptics in hospitalized patients with a prolonged QTc?

2 Answers
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Mednet MemberInvited Expert
Psychiatry · Massachusetts General Hospital/Brigham and Women’s Hospitals
Answered on · Updated on

First, I'd wonder how long the QTc actually is. Especially in tachycardic and bradycardic situations (let alone non-sinus rhythms), hand calculation (e.g. via the hodges formula) is advised since the electronic reading is often off. Also, textbook-prolonged and prolongation that would indicate conce...

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Mednet Member
Mednet Member
Hospital Medicine · Conemaugh Memorial Medical Center
Answered on

There is no good study on this dilemma.

I usually use this table as a reference when I am considering neuroleptics.

https://www.uptodate.com/contents/image?imageKey=PSYCH/82533

It depends on the drug availability in different facilities. I prefer abilify if the patient can take PO. If the patient ca...

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