Which one?

  1. The drug of choice for sedating the agitated patient suffering from cocaine poisoning is:

    A. Cogentin
    B. Haldol
    C. Librium
    D. Valium

    I know it's a benzo, but aren't Librium and Valium benzos? So which one?
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  2. 12 Comments

  3. by   teeituptom
    Howdy yall
    from deep in the heart of Texas

    Mostly likely none of the above. Librium isnt effective enough and has other issues asociated with it, Valium isnt long enough acting.
    Most commonly we see Ativan used for it. Works quickly and has a longer period of action. Now if they are really psychotic, then they throw in some haldol.
    My favorite is haldol 5 and ativan 2, IV preferrably. but will settle for IM.



    doo wah ditty
  4. by   TexasRN31
    Ah! "None of the above" was a choice! However, I am a fan of Ativan/Haldol, myself
  5. by   TexasRN31
    Er, "None of the above" was NOT a choice.
  6. by   Y2KRN
    Haldol and Ativan believer here!! Love it IV push works wonders!!

    Y2KRN
  7. by   CMERN
    Haldol was MY first choice, IVP is my 1st choice too,but you know depends on how wild they are..then the IM will do wonders in the interim...
  8. by   RNFROG3
    We use ativan Love it!
  9. by   Indiana ED RN
    Originally posted by TexasRN31
    The drug of choice for sedating the agitated patient suffering from cocaine poisoning is:

    D. Valium

    Well I found somewhere that...........
    Intravenous DIAZEPAM (Adults: 5 to 10 milligrams every 5 to 10 minutes as needed; Child: 0.1 to 0.2 milligram/kilogram every 5 to 10 minutes as needed) may be helpful (Anon, 1984). Large doses may be necessary in severe cases. Monitor for respiratory depression and need for endotracheal intubation.

    But I have seen more Haldol and Ativan used in my experiences.

    Ya know... Vitamin A deficiency!

    Me
  10. by   travel2lv
    Haldol 5mg/Ativan 2mg is quick and effective, I hate giving Ativan IM cause it HURTS but sometimes you do what ya gotta do.
  11. by   ERNurse752
    Not sure of the answer to the question...

    We had a guy come in the the ER the other night who developed CP after smoking crack-cocaine...he's been a user for about 20 years, and says that "this happens every time I smoke rock."

    Go figure...

    Anyway...he says he also called the ambulance because he thought he was going to have a seizure, and that he's been off his Depakote since August, because he ran out of money.

    Asked him if he could tell when he was going to have a seizure...he said sometimes...

    He got a funny look on his face, then proceeded to seize.

    Ativan 2mg IV cured him (for now!)
  12. by   AngelGirl
    No money for his Depakote.........??!!!??
    obviously, the Crack Cocaine was free!!!!
  13. by   RNCENCCRNNREMTP
    Yes, ativan and haldol IVP.

    Or as I call it, "Vitamin AH"

    AH is obviously for ativan/haldol but also for the sound the staff makes when te patient finally settles down.
  14. by   Uptoherern
    silly, silly angelgirl! Of course the crack was free...! Also, the ambulance ride was free....the er visit was free...., and he probably asked for free food too!

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