Haldol IV??

ellencrn · Nov 24, 2003

ahhh, inapsine. one of the drugs that had to have been invented by an nurse. too bad it was taken off. i have never seen any problems with it and but as with anything else, it was tooooooo good to be true!!

hogan4736, BSN, RN · Nov 27, 2003

we used to use inapsine 5-10 mg IM, usually in the deltiod, for combative, spitting patients...30 minutes, they are out!!

athomas91 · Nov 27, 2003

Inapsine.... wonderful med.... actually it was all a money issue - there were very - very -very few deaths and they were very - very loosely related to inapsine - it's competitor drug co... though used it as a chance to get it off the market - so they could make some money again.... shame really.

Trauma Columnist · Nov 28, 2003

Haldol is difficult to give IV since it MUST be given over a one minute time frame - quite a long time to adequately hold down a combative patient - not to mention - how did you get the IV in the first place. Nurses don't need to be sticking moving targets - much easier to give IM.

athomas91 · Nov 30, 2003

sq haldol works quickly as well.

Y2KRN · Dec 1, 2003

I say bring on the vit. H IV preferred!!! However any route will do!!

Y2KRN

NYCRN16 · Dec 5, 2003

we can give Haldol IV, but we dont put IV's in our psych patients unless there is a clear medical need for them so we usually give them 5 mg Haldol and 2 mg Ativan IM in order to knock them out if they are agitated/combative. If a medical patient gets agitated they usually have an IV anyway, and we usually just give them the Ativan first. On our vials of Haldol it says for IM or IV use.

berry · Dec 17, 2003

even the most combative pt can be held long enough to stick, then an "elephant gun" Haldol 5mg, ativan 2mg, benedryl 50mg then they are sleeping like a baby IM just take so much longer to start working, the one IM i do like to use is geodon 20 mg takes about 15 to take effect but damn it will chill out anybody we have the only inpt pysch floor around so i see plenty of crazies coming in

Dave ARNP · Dec 18, 2003

I order Haldol IV quite a bit for a psyc patients. Actually, in our area the Halivan combo is quite popular so this is what I usually order. 5 of Haldol and 2 of Ativan has calmed down every psyc patient I've ever had to deal with in the ER. Also, I had a MRDD Individual who went AWOL in my office and after calling the impatient psyc at the hospital, Halivan given IM was found to work really well to. But it didn't get the feces that was flung on the walls off :)

-Dave

athomas91 · Dec 18, 2003

i have used a great cocktail in the past.... one of my fav doc's loves it... it is called 911

9mg haldol

1mg cogentin

1mg ativan

im - works wonders....

hogan4736, BSN, RN · Dec 18, 2003

Cocktails...

My favorite has always been Valium 10 mg IV w/ (in the same syringe) Benadryl 50 mg...

Or droperidol 10 mg deep IM...

sean

Rena RN 2003, RN · Dec 18, 2003

ooohh, gotta love those B52 cocktails

benadryl 50

haldol 5

ativan 2