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?
2. 

   About TexasRN31

   Joined: Aug '02; Posts: 30

   12 Comments

   Topic Closed
3. 
   Nov 27, '02

   Occupation: ER RN Specialty: ER,ICU,L&D,OR,ETC ; Joined: May '01; Posts: 5,588; Likes: 566

   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. 
   Nov 27, '02

   Joined: Aug '02; Posts: 30

   Ah! "None of the above" was a choice! However, I am a fan of Ativan/Haldol, myself
5. 
   Nov 27, '02

   Joined: Aug '02; Posts: 30

   Er, "None of the above" was NOT a choice.
6. 
   Nov 27, '02

   Joined: Mar '01; Posts: 230; Likes: 4

   Haldol and Ativan believer here!! Love it IV push works wonders!!
   
   Y2KRN
7. 
   Dec 2, '02

   Occupation: E.R. Nurse Joined: Aug '02; Posts: 190; Likes: 1

   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. 
   Jan 9, '03

   Occupation: RN, BSN-ER Joined: Apr '02; Posts: 152; Likes: 6

   We use ativan Love it!
9. 
   Jan 10, '03

   Occupation: ED RN Joined: Jan '03; Posts: 14; Likes: 3

   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. 
    Jan 10, '03

    Occupation: psych R.N. Joined: Dec '02; Posts: 44

    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. 
    Jan 10, '03

    Specialty: 8 year(s) of experience ; Joined: Oct '01; Posts: 1,499; Likes: 287

    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. 
    Mar 15, '03

    Occupation: RN in E.R. Joined: Feb '03; Posts: 110; Likes: 8

    No money for his Depakote.........??!!!??
    obviously, the Crack Cocaine was free!!!!
13. 
    Mar 16, '03

    Occupation: ACNP, RN, Paramedic Specialty: 30 year(s) of experience in Emergency Nursing Advanced Practice ; From: US ; Joined: Mar '03; Posts: 257; Likes: 58

    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. 
    Mar 16, '03

    Occupation: rn - er Joined: Nov '01; Posts: 323; Likes: 147

    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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