Confusing Order

Nurses General Nursing

Published

ORDER READS:

Haloperidol (Haldol 5m/ml) 0.5-1.0 mg subcut TID routinely AND 1-2mg subcut TID PRN for nausea, vomiting, or delirium.

TID = every 8 hours (three times in 24 hours)

What would you consider the maximum dose that is permitted EVERY EIGHT HOURS?

Up Vote Up Vote ×
Specializes in Med-Surg, Psych.

3 mg. But I would call the doc to clarify the order. And the order should not include "1.0"!

Up Vote Up Vote ×
Specializes in Day Surgery, Agency, Cath Lab, LTC/Psych.

Well, I agree that it is a somewhat confusing order. However, I believe that it is a plausible one. Maximum dose every eight hours would be 3 mg.

I have never given Haldol for nausea or vomiting.

Up Vote Up Vote ×

i read it as 3mg as well.

leslie

Up Vote Up Vote ×

THANK YOU! CRAZY ASS ORDERS. I want them to be comfortable but not comatose.

Up Vote Up Vote ×
ORDER READS:

Haloperidol (Haldol 5m/ml) 0.5-1.0 mg subcut TID routinely AND 1-2mg subcut TID PRN for nausea, vomiting, or delirium.

TID = every 8 hours (three times in 24 hours)

What would you consider the maximum dose that is permitted EVERY EIGHT HOURS?

I can't imagine poking the person every eight hours when haldol can be given p.o. If the doctor ordered it for nausea, vomiting, please question his order because nausea and vomiting are one of the adverse effects aside from severe parkinsonlike reactions.

Up Vote Up Vote ×
Specializes in Gyn Onc, OB, L&D, HH/Hospice/Palliative.

Ditto, 3 mg max in 24 hrs, also ditto, never have seen it for n/v?? I would question the doc.What is the rationale for TID,ATC agitation/delirium ? Why sq,if po or IV not possible there is always conc solution/elixir gtts?

Remember guys JULY is just about here, pray for all of us in the teaching hospitals with all the inept newbies starting:eek:

Up Vote Up Vote ×
Ditto, 3 mg max in 24 hrs, also ditto, never have seen it for n/v?? I would question the doc.What is the rationale for TID,ATC agitation/delirium ? Why sq,if po or IV not possible there is always conc solution/elixir gtts?

Remember guys JULY is just about here, pray for all of us in the teaching hospitals with all the inept newbies starting:eek:

Yep....get ready!

Up Vote Up Vote ×

the first part wont fly with JACHO, no ranges allowed....the second part, dont think the delirium would fly either, is this not a med. dx?

Up Vote Up Vote ×

Remember guys JULY is just about here, pray for all of us in the teaching hospitals with all the inept newbies starting:eek:

WOW! That's harsh! Don't we all start at the same point - a NEW nurse!

Up Vote Up Vote ×
Specializes in Med-Surg/Peds/O.R./Legal/cardiology.

No, it's not harsh. It's just the truth! I used to hate to see July coming when I worked for years at teaching hospitals. Of course, we all have to start somewhere but July is a nightmare. ugghhhhh....I'm getting chills... :no:

Up Vote Up Vote ×
Specializes in Gyn Onc, OB, L&D, HH/Hospice/Palliative.
wow! that's harsh! don't we all start at the same point - a new nurse!

i'm talking about new residents, that are clueless, not nurses, guess your too new to know what is ahead,new nurses know more about pt care than new residents who never touched a pt.... you'll see... everyone knows in july, in a teaching hospital, don't get sick, stay out of the er and try not to have surgery, at least until october

Up Vote Up Vote ×
+ Add a Comment