Template:General ED Psychiatric Management - Revision history

Rossdonaldson1: /* General ED Psychiatric Management */

2016-11-13T19:26:57Z

General ED Psychiatric Management

← Older revision		Revision as of 19:26, 13 November 2016
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	***[[Haloperidol]] 0.5mg-5mg +/- lorazepam 0.25-2mg (PO/IM/IV)		***[[Haloperidol]] 0.5mg-5mg +/- lorazepam 0.25-2mg (PO/IM/IV)
	****Consider adding [[benztropine]] 0.5-2mg '''or''' [[diphenhydramine]] 25-50mg (PO/IV/IM) (reduces dystonia or [[extrapyramidal reaction]])		****Consider adding [[benztropine]] 0.5-2mg '''or''' [[diphenhydramine]] 25-50mg (PO/IV/IM) (reduces dystonia or [[extrapyramidal reaction]])
	***Consider [[risperidone]] 0.5-2mg PO '''or''' olanzapine 2.5-20mg (PO/IM/SL) '''or''' ziprasidone 10-20mg IM		***Consider [[risperidone]] 0.5-2mg PO '''or''' [[olanzapine]] 2.5-20mg (PO/IM/SL) '''or''' [[ziprasidone]] 10-20mg IM
	**Known or suspected underlying psychotic illness		**Known or suspected underlying psychotic illness
	***Continue treatment with previous antipsychotic '''or'''		***Continue treatment with previous antipsychotic '''or'''
	***PO: olanzapine 5-10mg '''or''' risperidone 0.5-2mg +/- lorazepam: 0.5-2mg		***PO: [[olanzapine]] 5-10mg '''or''' [[risperidone]] 0.5-2mg +/- [[lorazepam]]: 0.5-2mg
	***IM: olanzapine 2.5-20mg '''or''' ziprasidone 10-20mg '''or'''		***IM: [[olanzapine]] 2.5-20mg '''or''' [[ziprasidone]] 10-20mg '''or'''
	***(PO/IM/IV) [[Haloperidol]] 0.5-5mg +/- lorazepam 0.5-2mg		***(PO/IM/IV) [[Haloperidol]] 0.5-5mg +/- [[lorazepam]] 0.5-2mg
	****Consider adding [[benztropine]] 0.5-2mg '''or''' [[diphenhydramine]] 25-50mg (PO/IV/IM) (reduces dystonia or [[extrapyramidal reaction]])		****Consider adding [[benztropine]] 0.5-2mg '''or''' [[diphenhydramine]] 25-50mg (PO/IV/IM) (reduces dystonia or [[extrapyramidal reaction]])

Rossdonaldson1: /* General ED Psychiatric Management */

2016-11-13T19:23:15Z

General ED Psychiatric Management

← Older revision		Revision as of 19:23, 13 November 2016
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	===[[General ED Psychiatric Management]]===		===[[General psychiatric approach\|General ED Psychiatric Management]]===

	*'''Non-pharmacologic'''		*'''Non-pharmacologic'''
	**Verbal de-escalation		**Verbal de-escalation

Humanguy: Reorganized physical restraints information

2016-11-10T22:25:58Z

Reorganized physical restraints information

← Older revision		Revision as of 22:25, 10 November 2016
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	**Offer comforting items: blanket, meal, pillow, etc		**Offer comforting items: blanket, meal, pillow, etc
	**Quiet room		**Quiet room
	**Physical restraints		**Physical restraints (should administer medications if restraints used, as decreases restraint time)
	~~***~~should administer medications if restraints used (decreases restraint time)
	*'''Pharmacologic''': Goal is to calm patient without oversedation		*'''Pharmacologic''': Goal is to calm patient without oversedation
	**No history of psychosis		**No history of psychosis

Humanguy: Created Template: General ED Psychiatric Management

2016-11-10T22:20:10Z

Created Template: General ED Psychiatric Management

New page

===[[General ED Psychiatric Management]]===

*'''Non-pharmacologic'''
**Verbal de-escalation
**Offer comforting items: blanket, meal, pillow, etc
**Quiet room
**Physical restraints
***should administer medications if restraints used (decreases restraint time)
*'''Pharmacologic''': Goal is to calm patient without oversedation
**No history of psychosis
***[[Haloperidol]] 0.5mg-5mg +/- lorazepam 0.25-2mg (PO/IM/IV)
****Consider adding [[benztropine]] 0.5-2mg '''or''' [[diphenhydramine]] 25-50mg (PO/IV/IM) (reduces dystonia or [[extrapyramidal reaction]])
***Consider [[risperidone]] 0.5-2mg PO '''or''' olanzapine 2.5-20mg (PO/IM/SL) '''or''' ziprasidone 10-20mg IM
**Known or suspected underlying psychotic illness
***Continue treatment with previous antipsychotic '''or'''
***PO: olanzapine 5-10mg '''or''' risperidone 0.5-2mg +/- lorazepam: 0.5-2mg
***IM: olanzapine 2.5-20mg '''or''' ziprasidone 10-20mg '''or'''
***(PO/IM/IV) [[Haloperidol]] 0.5-5mg +/- lorazepam 0.5-2mg
****Consider adding [[benztropine]] 0.5-2mg '''or''' [[diphenhydramine]] 25-50mg (PO/IV/IM) (reduces dystonia or [[extrapyramidal reaction]])