I had a really confused pt today with high blood sugars. He wasn't violent, but was incredibly aggressive, and I was worried he would become combative. To what point do you force these pts to take meds (iv, subq)? I had a resident insist that there's no way a confused or can refuse meds. It's my job to give it no matter what. Do i get several nurses to force him down, potentially making his behavior worse? And if I already feel that this pt might become violent with me, do I have to wait for him to actually hit me? I'm more annoyed that she said, well he hasn't become violent yet. I think you all get the issue I'm trying to figure out. At what point is it "okay" to place yourself in harm's way to ensure a confused pt takes their meds?
Also, I just want to note, they really didn't want to add anything iv/im to help calm him. I asked.
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