PO haldol

Posted
by lottieloo lottieloo (New) New

Do you typically "automatically" add PO cogentin PRN along with PO Haldol PRN? Or is dystonia more an issue with IM haldol?

B52, ADN, BSN, MSN, RN

Specializes in Psych, Substance Abuse. Has 11 years experience. 210 Posts

I usually give prn Benadryl with prn po Haldol.

adnrnstudent

adnrnstudent, ASN, RN

Has 5 years experience. 353 Posts

Not unless I know they have a Hx and if I knew they had a Hx, I'd get an order for something else. I give PO and IM Haldol daily and never would just add Cogentin or Benadryl.

nurse lala, BSN, RN

Specializes in Psych. Violence & Suicide prevention.. Has 44 years experience. 110 Posts

I would ask the provider about an order for benedryl or congentin.

matthdrn

matthdrn

52 Posts

If they have adverse symptoms related to a particular anti-psychotic in the past you would add in cogentin or benadryl depending on their reaction. If you observe a reaction that was not known, ask the provider for an order for the s/sx.

Meriwhen, ASN, BSN, MSN, RN

Specializes in Psych ICU, addictions. 4 Articles; 7,907 Posts

Usually not, unless it's been ordered that way or the patient requests a PRN Cogentin/Benadryl along with it.

PsychNurse18

PsychNurse18

Specializes in Mental Health. 3 Posts

Or psychiatrists order cogentin or Benadryl PRN for most of our patients. That way if they need it then it's available.

James W.

146 Posts

Haloperidol is a cheap 'n' potent old-school neuroleptic, & has low soporific value.

If it is being used for cost reasons, then a prn cogentin order ought to be included.

Like-wise, a concomitant sedative might be useful under certain circumstances.