Haldol (haloperidol) – Flashcards

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question
Drug classification
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- conventional antipsychotic
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Dose range
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- PO: 2-20 mg/daily in divided doses - IM: 2-5 mg. q1-8 hr, not to exceed 100 mg/day Depot injection: - Haloperidol Decanoate - 50 to 100 mg q4weeks
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Pharmacological action
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- alters effect of dopamine in the CNS - has anticholinergic and alpha-adrenergic blocking activity
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Side effects/Adverse effects
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- seizures, extrapyramidal reactions, confusion - drowsiness, restlessness - tardive dyskinesia - blurred vision, respiratory depression - hypotension - constipation - dry mouth - sedation - tachycardia, urinary retention - neuroleptic malignant syndrome - agranulocytosis
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Medication/food interactions
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- antihypertensives= hypotension - CNS depressants = increased CNS depression - alcohol - anticholinergics - caffeine - carbamazepine
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Nursing interventions/client education
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- take as directed - may cause drowsiness - change positions slowly - possible extrapyramidal symptoms - avoid drinking alcohol - use sunscreen - drug impairs body temperature regulation - use frequent mouth rinse and good oral hygiene
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Therapeutic uses
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- diminished signs and symptoms of psychoses - improved behavior in children with Tourette's or other behavioral problems
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Nursing administration (concerns)
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- avoid skin contact with oral solution - PO administration with full glass of water or food to minimize GI irritation - IM: inject slowly via Z-track; do not exceed 3 ml per site - keep patient recumbent for at least 30 minutes following injection to minimize hypotensive effects
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Evaluation of Medication Effectiveness
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- decrease in hallucinations, insomnia, agitation, hostility and delusions - decreased tics and vocalization in Tourette's syndrome - improved behavior in children with severe behavior problems
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