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Haloperidol

Protocol number: ALS-002
Description: Haloperidol (Haldol™)
Date implemented: February 9, 2005
Last revision date: implementation
OMD:
Reviewed Date/By:

 
 
INTRODUCTION:
 
Patient restraint should be utilized only when necessary and in those situations where the patient is exhibiting behavior that the EMS provider believes presents an immediate danger to the patient and/or others.  Refer to restraint protocol.
 
INDICATIONS:
 
Acute psychotic episodes
Emergency sedation of severely agitated or delirious patients
Order obtained from physician
 
CONTRAINDICATIONS:
 
CNS Depression
Coma
Hypersensitivity
Pregnancy
Severe liver or cardiac disease
Order from Physician not obtained.
 
PRECAUTIONS:
 
  • Be prepared for hypotension monitor vital signs every 5 minutes.
  • Benadryl 25 – 50 mg IV or IM at any sign of adverse reaction such as muscular rigidity or abnormal movement
  • Orthostatic Hypotension
  • Nausea/Vomiting
  • Allergic Reactions
  • Blurred Vision
  • Dose-Related extrapyramidal reactions:  Pseudo parkinsonism, Akathisia, Dystonias
 
INTERACTIONS:
 
Other CNS depressants may potentiate effects
May inhibit vasoconstrictor effects of Epinephrine
 
EQUIPMENT:
 
Haloperidol (Haldol™) solution for parenteral use
Free Flowing IV
Syringe and needle
Alcohol Preps
 
HOW SUPPLIED:
 
5 mg, 50 mg, 100 mg/mL
 
ADULT DOSAGE:
 
2 – 5 mg IV or IM every 10 minutes as needed to control behavior
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