Posted by ed_uk on March 9, 2006, at 14:06:51
In reply to Chemical vs. Physical restraints, posted by San Diegan on March 9, 2006, at 12:56:35
Hello
High doses of haloperidol (Serenace, Haldol) can restrain patiens by causing parkinsonism. Lower doses may provide similar efficacy with less side effects eg. EPS.
It is my belief that conventional IM doses of haloperidol are too high. In the treatment of acute paranoid psychosis, mania or psychostimulant intoxication, an initial dose of 2mg IM is appropriate. Elderly or physically debilitated patients must receive reduced doses.
>They have IM zyprexa now, and also injected benzo's work well.
IM Zyprexa is new, expensive and its safety in patients with various medical conditions is less clear. Doctors sometimes fear that injected benzos may cause respiratory depression. This is a problem when resuscitation facilities are not immediately available.
>How would one go about making the preference known, carry a card? And would ER or Psych hospital people respect that preference? hmm...
You could have a card explaining that you react badly to APs.
Regards
Ed
poster:ed_uk
thread:617918
URL: http://www.dr-bob.org/babble/20060304/msgs/617953.html