system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 57-year-old man is brought to the emergency department by his son for odd behavior. The patient and his son had planned to go on a hike today. On the drive up to the mountain, the patient began acting strangely which prompted the patient's son to bring him in. The patient has a past medical history of constipation, seasonal allergies, alcohol abuse, and IV drug abuse. His current medications include diphenhydramine, metoprolol, and disulfiram. The patient's son states he has been with the patient all morning and has only seen him take his over the counter medications and eat breakfast. His temperature is 102.0°F (38.9°C), blood pressure is 147/102 mmHg, pulse is 110/min, and oxygen saturation is 98% on room air. The patient appears uncomfortable. Physical exam is notable for tachycardia. The patient's skin appears dry, red, and flushed, and he is confused and not responding to questions appropriately. Which of the following is the best treatment for this patient's condition?
assistant
Physostigmine