How much lorazepam have you given....

And while you're at it...haldol.

Our orders for ventilator sedation >24 hours is Lorazepam 1mg q15min IV PRN and then haloperidol 5mg IV q1h.

Our etoh pts have the same but they also get 1mg scheduled q1h in addition to their PRN drugs.

for an ETOH w/d I gave a dude something close to 7-8mgs before transferring him to the unit to get snowed and tubed....we finally ran out of propofol gtts so we use versed morphine or ativan depending on what the drs want..i have an etoh w/d patient who is on a ativan gtt at 6mg/hr covered with haldol and more ativan prn if need be.

I have given a total of 28mg of Ativan IV to a DT patient in 12 hours. And that dose did NOTHING for him - he continued to kick us, spit at us, and call us names. I was also giving haldol per our withdrawl protocol with no result.

As a general rule we use valium not ativan for our ETOH'ers......and I had one guy that we gave something like 50 mg IV to in a 12 hour period.

Most lorazepam I can recall giving was a guy we had on a gtt at 10 mg/hr + at least 2 mg IV push q1H.

I've had a ETOH patient on a Ativan drip at 20mg/hr with them still moving around, although intubated. I think he drank something like a 1.75 of vodka a day. As far as Ativan pushes? I've given about 14 mg an hour for a few hours to get someone under control. Just push it in almost as fast as you draw it up to get their DT's under control before the MD decides we should have a drip.

... I gave a dude something ...

I gave 30mg Valium for the trip to CT scan. Actually I was chicken and gave 20mg IV and gave the vial with 10mg to the transport nurse in case she needed it. She needed it.

30mg Valium for each road trip, and it didn't kill him or knock him out for long.

Wow. I think I win! We had a DT's patient that was on an Ativan gtt at 46mg/hr and ambulating. We ended up starting propofol to decrease the Ativan. Scary! I don't recall how much he drank daily, but it was something like a 30 pack of beer and a liter of liquor. :sstrs:

That's lot of Ativan that could swipe out a horse ))

Yeah, we have a lot of alckies where I work, and we frequently give enough Ativan to snow a buffalo!

Lorazepam acts on GABA receptors in the brain, just like alcohol, so huge alcohol tolerance reflects in Ativan dosing.