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Haldol drips

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  • 1. Haldol Drips Haldol is an antipsychotic agent used to control acute delirium especially in emergency situations Use only with physician order – see Haldol IV Drip standing orders Use the IV pump and go through the drug list and select Haldol to regulate drip Do not mix with other medications Protect from light Vital signs (B/P, HR, Respirations) are monitored every 15 minutes while titrating drip until stable and then every hour
  • 2. Haldol Drips (continued) Spo2 is monitored continuously Monitor heart rhythm by telemetry including QT interval and have telemetry arrhythmia standing orders on chart Only Haloperidol lactate can be used IV Patient must have a daily ECG while on the drip Avoid use in patients with prolonged QT interval Watch for increase side effects when given with other drugs that prolong the QT interval Notify physician of any side effects
  • 3. Haldol Drips (continued)Follow standing orders for use Usual starting dose is 4mg/hr Do not exceed 15mg/hr without MD approval Assess response every 30 minutes using the Richmond-Agitation- Sedation-Scale (RASS) Titrate by 4mg/hr to achieve a satisfactory response Once response is achieved, a gradual reduction to the lowest effective dose is suggested Satisfactory response is considered 0 to +1 on the RASS scale
  • 4. Haldol Drips (continued)Richmond Agitation Sedation Scale (RASS) +4 Combative - Overtly combative, violent, immediate danger to staff +3 Very agitated - Pulls or removes tube(s) or catheter(s); aggressive +2 Agitated - Frequent non-purposeful movement, fights ventilator +1 Restless - Anxious but movements not aggressive or vigorous 0 Alert and calm Rass continued on next slide
  • 5. Haldol Drips (continued) -1 Drowsy - Not fully alert, but has sustained awakening (eye- opening/eye contact) to voice (>10 seconds) -2 Light sedation - Briefly awakens with eye contact to voice (<10 seconds) -3 Moderate sedation - Movement or eye opening to voice (but no eye contact) -4 Deep sedation - No response to voice, but movement or eye opening to physical stimulation -5 Unarousable - No response to voice or physical stimulation