<s>[INST] I have a patient here at my facility, 18 y/o male, pre exsisting dx of bi polar disorder and adhd. He has not been on his medications in over 3 weeks. He could not tell us what he was taking before then. He admitted to smoking an unknown amount of the synthetic k2 that was homemade by some friends of his. He said he didnt know what was in it or what it would do to him. We have him on an emergency detention order until a crisis center has an available bed. He has progressivly gotten worse over the last 24 hours. Today we obtained orders for Haldol 10 mg, 100mg benadryl (initial dose), and 0.5mg ativan. This did not phase him in the slightest. He became very aggresive and ended up having less leathal force used against him. After he had calmed down from that incident we obtained orders for 2mg Ativan IM, this has slightly calmed his aggression, however he is still in full blown psycosis. I have been monitoring his behavior since the injection, and he is having very brief moments of clarity, then right back to the delusions. Is there anything else that you suggest we try? [/INST] Hello, Thanks for using healtcaremagic. From the available description it seems to me that he is currently in delirium probably due to some medical illness or due to smoking some unknown substance. I will prefer him to continue on the low dose of haloperidol and request you to obtain a EEG report as soon as possible. Rather than over medicating using the lowest possible dose will be in better interest of the patient. I hope I am able to answer your query. If you have any questions feel free to write back to me. Thanks </s>