Droperidol Flashcards
What is Droperidol primarily used for?
Acute behavioural disturbance
Droperidol is a member of what class of medications?
Butyrophenone (group of medications that block dopamine in the brain)
What are the common routes of administration for Droperidol?
Intravenous (IV) and intramuscular (IM)
What is the recommended dose of Droperidol for a 45yo patient?
16yo to <65yo IM/IV
10mg
May be repeated once at 15mins
Total maximum dose 20mg
What is the onset of Droperidol
5 - 15mins
What are the 5 absolute contraindications for using Droperidol?
Allergy / known adverse drug reaction
Lewy body dementia (LBD)
Parkinson’s disease
Previous dystonic reactions to droperidol
Patients <8yo
What is a potential side effect of Droperidol?
Hypotension / vasodilation
What should be monitored after administering Droperidol?
The patients sedation levels
What are the indications for droperidol?
Unresponsive to de-escalation
SAT score >2
To prevent harm to themselves or others
True or False: Droperidol is contraindicated in patients with Parkinson’s disease.
True
What is the mechanism of action of Droperidol?
Droperidol works by blocking dopamine in the brain (works by antagonizing dopamine D2 receptors in the central nervous system)
What is the pediatric dosing recommendation for Droperidol?
8 - 12yo IM/IV
0.1 to 0.2 mg/kg
Single max dose 10mg
May be repeated once at 15mins
Total maximum dose 20mg
What is the recommended dose of Droperidol for a 70yo patient?
> 65yo IM/IV
5mg
May be repeated once at 15mins
Total maximum dose 10mg
What is the recommended dose of Droperidol for a 13yo patient?
13 - 15yo IM/IV
0.1 to 0.2 mg/kg
Single max dose 10mg
May be repeated once at 15mins
Total maximum dose 20mg
What is droperidol drug class
Antipsychotic
What should be done if a patient experiences severe adverse effects from Droperidol?
Discontinue the medication and provide supportive care
What is the presentation of Droperidol?
10mg/2mL
Multiple choice: Which of the following is NOT a side effect of Droperidol? A) Sedation B) Tremors C) Salivation
C) Salivation
What is a relative contraindication for using Droperidol?
Suspected sepsis
Is a CCP required for Droperidol administration?
Where a second dose of Droperidol has been administered by an ACP2, CCP (where available) must be requested
Prior to QAS arrival where Droperidol has been administered, are there any considerations?
Subsequent administration of Droperidol must consider prior dosages and time to ensure compliance with QAS DTPs
When is it appropriate to insert an IV cannula solely for Droperidol administration?
Under no circumstances should an IV cannula be inserted just for Droperidol. IV Droperidol administration is only to occur when an IV cannula is already in situ.
