How you've dealt with difficult patients....

6 posts · started Mar 9, 2011

hppygr8ful Mar 11, 2011, 2:22 AM

Give them the cocktail

Geodon takes to long to work - plus you have to feed them first to get the best results - I prefer quick and dirty,


I always liked the old stand by 5-2-50 cocktail IM of course

5mg haldol, 2 mg ativan and 50 mg benedryl - works every time -----Nighty night

Sublingual Zyprexa works pretty good too if you can get it under the tongue without getting bit


Hppy
hppygr8ful Mar 11, 2011, 4:22 AM
Well of course when I say diffucult I mean psychotic! Not just a whiner or confused old person. I've talked a lot of people through crisis situations without ever giving a drug -- some of my consumer's go way beyond the definition of difficult I've got one who is loud intrusive, whines, screams, hits, bites and engages in self harm behaviors - she is on a daily cocktail of meds that include Zyprexa, Haldol, resirdal, Saphris, ativan and benadryl depakote. And she's still standing. It's not her fault she is a severe case of an adult born with fetal alcohol syndrome then brain damge from a choking event. she is what she is and we do our best for her - Under changes with healthcare reform she will only be allowed to be on two antipsychotics at one time - aint life grand
suebird3 Mar 11, 2011, 4:36 AM
I like the Vitamins A & H cocktail, also. I seem to remember telling 2 of my favourite male aids to 'kindly escort' one particular patient to his room when he continued to rant. It was quite satisfying to see them get him under each arm and nearly frog march him to his room to chill out. Oh, they were facing one way, patient the other. It seemed to work, as patient would NOT cut up for a while after that. :p