USMLE Step 3 Quiz
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CRITICAL CARE
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A 72-year-old man is transferred to the medical ward from the ICU, where he was treated for septic shock from a urinary source for five days. His infection has resolved, and he was weaned off norepinephrine 24 hours prior to transfer. His ICU course was complicated by delirium, for which he received a continuous midazolam infusion that was weaned off 12 hours ago. On the ward, he is now noted to be agitated, tremulous, and diaphoretic. His temperature is 37.5°C (99.5°F), blood pressure is 165/95 mm Hg, heart rate is 115/min, and respiratory rate is 22/min. Physical examination reveals no focal findings.
Which of the following is the most appropriate immediate action?
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