Haldol im given iv

Parenteral:
CONTINUOUS INFUSION:
Preterm and term neonates:
Less than 32 weeks with tracheal intubation:
-Initial dose: mg/kg/hr ( mcg/kg/min) IV

Over 32 weeks with tracheal intubation:
-Initial dose: mg/kg/hr (1 mcg/kg/min) IV

Non-neonates and children:
Unpremedicated patients with tracheal intubation:
-Loading dose: to mg/kg IV once, administered over 2 to 3 minutes
-Initial dose: to mg/kg/hr (1 to 2 mcg/kg/min)

Premedicated patients with tracheal intubation:
-Initial dose: to mg/kg/hr (1 to 2 mcg/kg/min)

Hemodynamically compromised patients:
-Loading dose: The usual loading dosed should be increased in small increments.

Comments:
-To establish therapeutic plasma levels in neonates, the infusion should be run more rapidly for the first several hours.
-Infusion rates should be reassessed to ensure that the lowest effective dose is used, especially after the first 24 hours.
-Extreme caution should be used in current/former preterm patients who do not have tracheal intubation.
-The rate of continuous infusion may be increased or decreased (., usually by 25% of the initial/subsequent rate) as necessary in premedicated non-neonates. Supplemental IV doses may be given to increase/maintain the desired effect.
-Patients should be monitored closely for hemodynamic instability, respiratory rate, and oxygen saturation, especially when this drug is used in those with hemodynamic instability.

Use: Sedation of intubated and mechanically ventilated patients during treatment in a critical care setting

I’m on my second round of being a caretaker of an advanced Alzheimer’s patient. My father has passed on and I am now taking care of his sister, my aunt, who is eighty six. My advice, through experience, give them food when they want it and pick your battles. It is easier to agree than to argue. If you have to tell them they need to go to bed because we have to get up for church in the morning, do it. Every day could be Sunday here. There are times where they have had extreme clarity and times they have no clue who I was. My aunt always wants to go “home”, thousands of miles from my house where she now lives. We have used the term vacation as the reason she is here many times. As well as Alzheimer’s, she is basically a walking, or should I say shuffling, miracle as MRI’s of her spine show that her back is pretty well burnt toast. She is in pain, but yet when I take her to the doctor she states she is not. I have used video to show the doctor that what I am saying about her pain is true. On video she will go from a pain level of 10 to zero in a matter of minutes, but she is in pain. The video was the only way to convince the doctor, besides demanding and MRI. We have “baby” alarms on the doors and when she figured out how to knock the batteries out of them we put on the “baby” door knob covers – these have worked. We take the knobs off the stove at night to keep her from blowing us up as well, and the sliding glass door has a pair of vice grips along the track at the top to keep her in. Double keyed dead bolts where a key is needed to open from the inside and out will also keep a loved one indoors during the night. My opinion, and my opinion only, is that it is my job to take care of her, I refuse to fight and try to find humor in the repetition or demands – it is pretty easy to redirect someone in her condition to change the subject, and it often works. The fact is… she is dying a slow death and I want to make her as comfortable as possible. If the house is Auntie proofed, she can’t hurt herself or get out in the middle of the night and I can get my sleep too. I would much rather have her here with me than in a home. Most homes I have visited I wouldn’t let my dog live in. God bless you all for all you do, you are earning you wings. Good luck.

Conversely, while culture shapes the form a psychotic reaction may take, culture also determines what is not to be considered psychotic. Behaviors that in one culture would be thought of as bizarre or psychotic, may be acceptable in another. For example, some cultural groups and religions view "speaking in tongues" as a valuable expression of the gifts of God, whereas viewed out of context, the unrecognizable speech patterns might be viewed as psychotic. If the behaviors shown are culturally acceptable in the person's society or religion, and happen in an approved setting such as a religious service, then brief psychotic disorder would not be diagnosed.

Haldol im given iv

haldol im given iv

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