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Could someone tell me the most common medications used for psychiatric emergencies? I am guessing most of them are IM but the information I have found has been from a drug company or wikipedia and not sure I can entirely trust these sources. Thank you.
edie
Often times, you will have a choice of a PO emergency med and an IM of the same med.
So, the goal is to attempt to have the pt take the PO first, then if that fails, you go with the IM.
Better to try and get the PO before things get too out-of-hand than having to do an IM, because usually by that time that means the pt has possibly escalated to the point of needing to be held down by staff... we like to try to avoid that.
In fact, good staff will do everything they can to try to redirect a pt to avoid having to use any emergency meds.
We use a lot of Haldol and Ativan. They can be given together in a single syringe-- hence it's known as "the cocktail".
P.S.
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Good luck with your interview!
Psych is awesome.
5 Haldol 2 Ativan is the most common combo I've seen. And as you stated always something to control the EPS. I was speaking with a coworker the other day who is a long time psych nurse at a particular hospital, so she is familiar with a lot of the patients. She told me one particular patient has actually built up the tolerance to normally receive 40mg Haldol!! Just thought that was interesting. I'm looking into becoming a Psych NP and I just don't think I would be comfortable prescribing that much medication to anybody.
Meriwhen, ASN, BSN, MSN, RN
4 Articles; 7,907 Posts
Wise of you to do a little homework. Best of luck with that interview, let us know how it goes!