MRCP2-0679
A 35-year-old woman presents to the Emergency Department with a 1-day history of confusion and restlessness. She has become progressively more unwell throughout the day and has started vomiting within the last two hours. Her medical history includes type I diabetes and depression.
On examination, she has a temperature of 38.5 °C. She is tachycardic with a heart rate of 133 bpm and her blood pressure is 170/110 mmHg. Her face is red and flushed. Her examination is difficult due to increased agitation, but there is an obvious tremor and hyperreflexia of her upper and lower limbs.
What is the most appropriate course of action for managing this patient?