19th August 2024

A 28-year-old man is brought to A&E by his family due to vertigo associated with nausea, vomiting and speech disturbance

A 28-year-old man is brought to A&E by his family due to vertigo associated with nausea, vomiting and speech disturbance. The attack began about 45 minutes ago when he suddenly became dizzy and began vomiting at home. He reports that after five minutes he began getting ringing in his right ear and then after a few more minutes felt tingling which started in his hands and spread to his arms and then legs. In the car en route to hospital his girlfriend reports he was drowsy. He has a history of migraines. When you see him, he has become more alert and the tingling and speech disturbance have resolved but he remains vertiginous. He also reports that a headache has started and is requesting pain relief. Which is the most appropriate treatment to initiate?

Select the SINGLE most appropriate option from the list below. Select ONE option only.