Which one?

teeituptom, BSN, RN · Nov 27, 2002

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

TexasRN31 · Nov 27, 2002

Ah! "None of the above" was a choice! However, I am a fan of Ativan/Haldol, myself :)

TexasRN31 · Nov 27, 2002

Er, "None of the above" was NOT a choice.

Y2KRN · Nov 27, 2002

Haldol and Ativan believer here!! Love it IV push works wonders!!

Y2KRN

CMERN · Dec 2, 2002

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...

RNFROG3, BSN, RN · Jan 9, 2003

We use ativan Love it!

Indiana ED RN · Jan 10, 2003

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

:confused:

travel2lv · Jan 10, 2003

Haldol 5mg/Ativan 2mg is quick and effective, I hate giving Ativan IM cause it HURTS but sometimes you do what ya gotta do.

ERNurse752, RN · Jan 10, 2003

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!)

AngelGirl · Mar 15, 2003

No money for his Depakote.........??!!!??

obviously, the Crack Cocaine was free!!!! :biggringi

RNCENCCRNNREMTP · Mar 16, 2003

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.