Haldol

Question 1

Generic name

Answer 1

Haloperidol

Question 2

Class

Answer 2

Antipsychotic, dopamine antagonist

Question 3

Mechanism of action

Answer 3

Produces a selective effect on the CNS by competitive blockade of post synaptic dopamine (D2) receptors in the mesolimbic dopaminergic system to produce tranquilizing effects

Question 4

Indications

Answer 4

Hyperactive behavior, excited delirium

Question 5

Contraindications

Answer 5

Parkinson’s disease, hypersensitivity

Question 6

Relative contraindications

Answer 6

CAD, CHF, Hepatic impairment, prolonged QT syndromes, seizures, dementia, tardive dyskinesia

Question 7

Adverse effects

Answer 7

Hypotension, dystonic reaction, prolonged QT interval, seizures

Question 8

Incompatabilities/ Drug interactions

Answer 8

All drugs - Flush line before and after administration

Question 9

Routs of administration

Answer 9

IM preferred, IV/IO monitor EKG for prolonged QT and torsades

Question 10

Adult dose

Answer 10

2.5 -10 mg IV/IO/IM

Question 11

Pediatric

Answer 11

not recommended

Question 12

Special Considerations

Answer 12

Watch for extrapyramidal symptoms and prolongation of QT interval

Question 13

Protocols used

Answer 13

A-25 psychiatric emergencies