Behavioral

Question 1

Haloperidol / Haldol

Answer 1

Classification
Antipsychotic

MOA
Antipsychotic that blocks dopaminergic D2 receptors in the brain

Indications
Treatment for SAAAADD schizophrenia, acute psychosis, acute mania, autistic disorder, agitation, delirium, dementia

Contraindications
Hypersensitivity, parkinson’s

Dosage/ Route of Administration
5-10 mg IM

Question 2

Lorazepam / Ativan

Answer 2

Classification
Benzodiazepine

MOA
binds to GABA receptors decreasing cerebral irritability, sedation, & stopping generalized seizures

Indication
SAD - Status Epilepticus, anxiety relief, Delirium tremens

Contraindication
HHRS - Hypersensitivity, hypotension, respiratory impairment, shock,

Dosage/ Route of administration
2-4 mg IV diluted in an equal volume of saline

0.5-2 mg IV anxiety

Question 3

Midazolam / Versed

Answer 3

Classification
Sedative

MOA
Binds to the GABA receptor acting as a short acting CNS depressant, calming relaxation effect on the skeletal muscle and inducing sleep, also helps with seizures

Indications
SAS! seizure control, anxiolysis, sedation post intubation

Contraindications
RAHHCCS - Respiratory arrest, acute renal failure, Hypersensitivity, hypotension, chronic heart failure, coma, shock

Dosage/ Route of administration

BSRIM

Behavioral 1-2.5 mg slow IV push

Seizure 2-6 mg IV,IM, IO

RSI sedation 0.1-0.3 mg/kg max of 10 mg

Infusion Bolus 0.01-0.05 mg/kg

Maintenance 1-7 mg/hour

Question 4

Olanzapine / Zyprexa

Answer 4

Classification
Antipsychotic

MOA
Antagonizes dopamine and serotonin receptors in the brain

Indications
(BSMD) - Bipolar, Schizophrenia, Manic, Depression

Contraindication
PHHDLABSS - Parkinsons, hypersensitivity, hypotension, Diabetes, Lithium coarse. arrhythmia, Breast cancer, Seizure, Strokes

Dosage/ Route of administration
5-15mg dissolvable tab

2-30 mg IM

Question 5

Ziprasidone / Geodon

Answer 5

Classification
Antipsychotic

MOA
Antagonizes D2 receptor and serotonin receptor resulting in relaxation

Indication
BSMA - Bipolar, Schizophrenia,, Manic, Acute Agitation,

Contraindication
MVCHH - MI, Ventricular arrythymia, Congenital long QT, Hypersensitivity, Hypomagnesemia,

Dosage/ Route of administration
20 mg PO Schizophrenia