25/37
(Continuation of Psychiatry Transfer Note)
The impression was delirium ? secondary (to) benzodiazepine withdrawal &
he was given Ativan 1 mg Intra Venous Push. the patient was transferred
to(?) the ICU for treatment (see medical summary for (additional) information).
On 8/25 he was evaluated by me & found oriented to person & time.
More alert & less agitated. His affect was labile with intermittent
tears.
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Current Mental Status Examination - sl(ightly) obese young man with facial
ecchymoses sitting up in bed. Speech fluent, prosaic.
mood - sl(ightly) dysphoric Affect full in appearance & range. Denies
suicidal/homicidal ideation.
Thoughts goal directed. Thought
content - no delusions No
auditory/visual hallucinations
Alert and Oriented X3
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A/P (?) status post Delirium likely secondary Benzo(diazepine) withdrawal
stable now on Ativan 2 mg every 4 (hours)
but with persistent depressive
symptoms without suicidal ideation or
psychosis
-to be transferred to Eye 6 in
AM on 8/27
-in preparation for transfer, please
Xerox this note and medical transfer
note 7 add to voluntary (in
front of chart). Done by Psychiatry Consult
- patient does not require 1:1 (?attendant).
Signature of Mary Bongiovi, M.D.
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