Quote from alfa-sierra
sadism and ignorance can, and often do, go hand in hand. i stopped keeping track of how many times "psychiatric" nurses fail to identify akethisia as a reaction of too much antipsychotics, leading erroneously to a "too much is never enough" mentality when in fact, when it comes to haldol in particular, less is more. exception to this could be a patient high on pcp.
alpha, i'm not sure how to respond to your post?!
mind you i work on an inpatient unit, so we know what medications have been given, and therefore know what adverse effects to look for. severe akathisia and acute psychotic agitation do not
(in my humble opinion) have a similiar presentation. akathesic agitation normally has a start/stop/start/stop type driven movement vs. the "full steam ahead" of psychosis. in akathisia 99 times out of 100 you hear the words "i'm coming out of my skin!", vs. "you are the devil spirit of my dead mother" of psychosis. besides which, it only takes a few seconds to do a barnes akathesia rating scale in your head. regardless, both conditions come with severe
emotional pain, which is just as real as the pain of a good compound fracture. what i would view as "sadistic" would be to sit by and allow the patient to suffer horribly when treatment is available.
treatment of akathesia is pretty straight forward. 1). remove the offending agent, whether it's haldol, prozac, regalan or whatever 2). usually we use a benzo, such as ativan, once in a rare while inderal. but as this is a thread about the use of haldol and ativan together, one would hope the ativan would counteract the possiblity of akathesia, just as the cogetin would do for dystonia/epse.
as a nurse who as dedicated my entire proffessional career to the care of the of mentally ill people, i resent your choice of words: "ignorant and sadistic". my most developed nursing "skill" is compassion for those whose lives are devastated by an illness that cannot be easily diagnosed with an xray or lab values, an illness that cause many a med-surg nurse to spend as little time as possible caring for the a post op patient that happens to also have schizophrenia. i think most of us use this site to ask or answer questions, share the highs and lows of nursing, vent and rant, but never to be attacked or insulted by our peers.