What are some of the main indications for Haldol use?
- Uses the callbell too often
- Talks too long
- Repeatedly comes out of room to find nurse
No – really – just kidding!
Official indications for Haldol administration is to gain therapeutic control of the patient whose behavior may be a danger to themselves.
In hospital – Haldol (haloperidol lactate) – fast acting antipsychotic – pharmacological class: Butyrophenone – Old Faithful
|Indications||Schizophrenia (Moderate), Psychosis||Schizophrenia (Severe), Psychosis||ICU Delirium||Ticks and outbursts as in Tourette’s||Dementia related psychosis|
|PO||0.5-2mg Q8-12H prn||3-5mg Q8-12H prn – up to 30mg/day||0.5-2mg Q8-12H initially. May need to increase to 3-5mg Q8-12H. Some have had up to 100mg/day.||Not approved due to increased risk of death|
|IM||2-5mg Q4-8H prn (may require Q1H prn initially)||See note below table||Not approved|
|IV (off-label)||2-10mg initially. May repeat Q15-30min (doubling initial dose sequentially. Then 25% of last bolus Q6H & taper off as able) Monitor EKG for prolonged QT intervals.||Not approved|
|Geriatric dosages||0.25-0.5mg Q8-12H initially||Less and less often than adults under age 65||0.25-0.5 Q4H & watch EKG for prolonged QT intervals||Not approved|
|Negative (potential) side effects||EPS, Tardive dyskinesia, Prolonged QT interval, Torsades de Pointes, Neuroleptic Malignant Syndrome (NMS), can affect blood, blood pressure, GI, liver, skin, endocrine, electrolyte balance, ability to drive||->||->||->||->Highest risk group for Tardive dyskinesia, Death|
|Contraindications||CNS depression, coma, Parkinson’s||->||->||->||->|
|Use caution in patients with||Allergy to Haldol, severe CV disorders, neutropenia, seizure disorder on meds||->||->||->||->|
|Potential interactions||Neurotoxicity if on Lithium, potentiated by many other meds|
|Storage||In syringe, in your pocket (just kidding!)|
If Haldol is being given to a person with bipolar in the manic phase, they could quickly move to depressive phase after receiving med.
IM or PO haloperidol decanoate (depot) is for home use – not for hospital use. Dosages are different and it is longer acting.
So there is your handy-dandy snapshot of Haldol – a nurse’s best friend! (when used with caution) Here’s a great resource to find out more: Mosby’s 2015 Nursing Drug Reference, 28e (SKIDMORE NURSING DRUG REFERENCE)
Thanks for checking in! Let me know if you want more med summaries like this.