250MH.ct3meds

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Author:
srhjqs
ID:
101036
Filename:
250MH.ct3meds
Updated:
2011-09-11 11:57:38
Tags:
mental meds
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Description:
crisis menagement: medications
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  1. lorazepam (Ativan)
    benzodiazepine
    use caution with liver/hepatic dysfunction
  2. alprazolam (Xanax)
    benzodiazepine
    paradoxical/opposite response with presonality disorder and elderly
  3. diazepam (Valium)
    benzodiazepine
    • rapid onset
    • calming relaxation
    • long half life
    • caution with elder
  4. haloperidol (Haldol)
    antipsychotic
    • favorable SE profile
    • RF neurological malignant syndrome
    • keep hydrated, check VS, test muscle rigidity
  5. chlorpromazine (Thorazine)
    antipsychotic
    • very sedating
    • watch for hypotension
  6. risperedone (Risperdal)
    atypical antipsychotic
    • calms while treating underlying condition
    • watch for hypotension
    • RF stroke in elders
  7. olamzepine (Zyprexa)
    atypical antipsychotic
    • useful if nonresposive to haldol
    • RF stroke elders
    • avoid with lorazepam
  8. ziprasidone (Geodon)
    atypical antipsychotic
    • caution with QT prolongation
    • less sedating
  9. combination: haldol, ativan and cogentin, benadryl
    • commonly used in acute setting
    • RF dystonia young male, athlete
    • consider akathisia if agitation increases

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