Friday, June 16, 2017

Giving a Little Extra

A patient attacked a staff member on a ward I was covering.

I let the male staff perform the physical break up of the altercation.

The nurse came to me with the doctor's stat order:  two milligrams of lorazepam (Ativan) and 5 milligrams of haloperidol (Haldol).

"IM?" I asked hopefully.  (Injections.)

"No, PO," he sighed.  (Oral.)

That's not enough to calm down an agitated big guy who has already thrown punches.

I grabbed the lorazepam and asked where they keep their extra Haldol tablets.

"Give liquid Haldol in juice," he said.  "And make it a Nursing Dose."

I smiled.  Yes, we do this.

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