What is the recommended management for a patient with extreme agitation and signs of infection?

For a patient presenting with extreme agitation and signs of infection, the recommended management involves a comprehensive approach that addresses both the underlying infection and the agitation. Hospital admission, intravenous antibiotics, and the use of an antipsychotic like oral risperidone represent the standard of care in this scenario.

Hospital admission is crucial because extreme agitation can indicate significant underlying issues, including severe infection or complications. Inpatient care allows for close monitoring of the patient's vital signs and clinical status, facilitating timely interventions for any deterioration.

The use of intravenous antibiotics is essential for treating the signs of infection, as this helps to address the primary medical issue that could be contributing to the patient's agitation. Infections can often lead to changes in mental status and increased agitation, so treating the infection is critical.

Risperidone is an atypical antipsychotic that can help manage severe agitation. It works by modulating neurotransmitter activity in the brain, which can mitigate the extreme restless behavior and agitation the patient is experiencing. Using pharmacotherapy in conjunction with infection management provides the best chances for stabilizing the patient and promoting recovery.

Combining these interventions ensures that both the acute medical and psychiatric needs of the patient are being addressed effectively.