Patient developed hexdache and dizziness

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A 26-year-old man is brought to the emergency department after collapsing 2 hours into basketball practice. Immed iately before the collapse, the patient developed a hexdache and dizziness. His parents report that he has a history of atypical depression, for which he takes quetilapine; he also underwent a laparoscopic appendectomy 3 monthis ao. Temperature is 41 C (105.8 F), blood pressure is 88/48 mm Hg. pulse is 136/min, and respirations are 26/min. The patient is disoriented but protecting his alrwary. Mucous membranes are dry. A cardiac examination shows tachycardia with a regular rhythm. Lungs are clear bilaterally. The abdomen is soft and nontender. Muscle tone and reflexes are normal. Which of the following is the best next step in managing this patlent? 117% Dantrolene Cyproheptadine Trendelenburg and oral hydration Cold water immersion High-dose ceftriaxone.

Reference no: EM133804874

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