Peter Antevy outlines a behavioral emergencies protocol with three severity levels. Droperidol is preferred for sedation: 5 mg IV/IM for adults, 0.1 mg/kg for kids, with onset in 5-10 minutes. Ketamine is an alternative but contraindicated in head trauma and neurodevelopmental disorders.
Questions this video answers
5 mg IV, IO, or IM (may be repeated once in 10 minutes as needed).
5–10 minutes.
0.1 mg/kg IV, IO, or IM with a maximum single dose of 5 mg; may be repeated once in 15 minutes.
200 mg IM, which may be repeated up to three times at five-minute intervals (per the transcript).
Pregnant patients, patients over 65 years of age, known coronary artery disease, neurodevelopmental disorders, and patients weighing less than 50 kg.
Chapters
Hey again, it's Dr. Entebbe. I want to talk about the behavioral emergencies protocol, specifically focusing on the mild, moderate and severe criteria as well as some other important considerations. When dealing with a mild case, the.
Patient is usually agitated, confused and scared, but they're still cooperative and can easily.
Calm with simple non pharmaceutical interventions. What about the moderate cases? These patients are agitated but they're not.
An immediate danger to themselves or others. They're loud and destructive, but they can.
Still have a conversation, even if only brief.
The severe cases of behavioral emergencies, these patients are immediately dangerous to themselves or others.
They're uncooperative, they're aggressive, they're exhibiting bizarre behavior and cannot be calm through conversations. So when it comes to medication Droperidol, a new medication is preferred over Ketamine.
For specific patients such as those who are pregnant over 65 years of age.
Have known coronary artery disease, have any contraindication to ketamine. Droperidol has an onset time of 5 to 10 minutes. The dose is 5mg IV IO or IM, which may be repeated once in 10 minutes as needed. Now if you do choose to use ketamine, there are special considerations that must be made for patients with head trauma.
Neurodevelopmental disorders or those weighing less than 50 kilos. These patients should receive a lower dose.
Of ketamine 200mg IM, which may be repeated three times in five minute intervals to gain control of the patient going back to Droperidol.
It's perfectly safe to use this medication in pediatrics, so for our pediatric patients.
Droperidol is given at 0.1mg per kg IV IO or IM with a max single dose of 5mg. You can repeat that once in 15.
Minutes as needed with the same precautions.
In mind for patients already taking other sedatives. Also remember to use the smaller vantage point needles in these patients.
After administering medication, it's important to monitor patient's vital signs, O2 levels, end tidal, SpO2 and cardiac function continuously.
It's also crucial to be prepared for.
Any potential adverse reactions to the medication such as dystonic reaction trudoperidol, which will be addressed through the dystonic reaction protocol. Remember, overall, the behavioral emergency protocol emphasizes.
The importance of a detailed patient assessment.
Prior to any medication administration and avoiding any position that compromises the patient's airway, breathing or circulation. If you have any questions or concerns, please refer to the protocol for further information.
