1
Q
What are the three major antipsychotics to know in the ED?
A
- Haloperidol
- Ziprasidone
- Olanzepine
2
Q
What are the indications for Haloperidol/haldol?
A
Acute psychosis
3
Q
What is the dosing for haloperidol/haldol?
A
IM: 2-5mg every 1 hour (max 2 doses)
4
Q
What are the SE of haloperidol/haldol?
A
- QT prolongation
- Dystonia
- Seizure
- NMS
- Torsades de pointes
- Somnolence
5
Q
What is the indication for ziprasidone/geodon?
A
Acute psychosis
6
Q
What is the doseage for ziprasidone/geodon?
A
IM: 10 mg every 2 hours
or
20mg every 5 hours
7
Q
What are the SE of ziprasidone/geodon?
A
- Higher risk for QT prolongation
- Dystonia
- Seizure
- NMS
- Torsades de pointes
- Somnolence
8
Q
What is the indication for olanzepine/zyprexa?
A
Acute psychosis
9
Q
What is the doseage for olanzepine/zyprexa?
A
IM: 5-10 mg (max 30mg/day)
10
Q
What are the advantages of olanzepine/zyprexa?
A
- Sedation
- Lower QT prolongation risk
