Questions and Answers
What is the drug classification of Haldol?
The typical dose range for PO administration of Haldol is _____ mg/daily in divided doses.
2-20
For IM administration of Haldol, the dosage is _____ mg every 1-8 hours, not to exceed 100 mg/day.
2-5
What are the pharmacological actions of Haldol?
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Which of the following are side effects of Haldol? (Select all that apply)
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Which of the following medications can interact with Haldol?
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What nursing intervention should be taken regarding Haldol administration?
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Haldol is used to improve behavior in children with Tourette's syndrome.
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Match the following nursing administration concerns with their statements:
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How can medication effectiveness for Haldol be evaluated?
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Study Notes
Drug Classification
- Haloperidol is classified as a conventional antipsychotic, effective in treating psychotic disorders.
Dose Range
- Oral dosing is typically 2-20 mg daily, divided into multiple doses.
- Intramuscular (IM) dosing ranges from 2-5 mg every 1-8 hours, not exceeding 100 mg per day.
- Depot injection via Haloperidol Decanoate is administered at 50 to 100 mg every four weeks.
Pharmacological Action
- Primarily alters dopamine effects within the central nervous system (CNS).
- Possesses both anticholinergic and alpha-adrenergic blocking properties.
Side Effects/Adverse Effects
- Possible adverse reactions include seizures and extrapyramidal symptoms.
- Common side effects are drowsiness, restlessness, and confusion.
- Significant long-term effects can lead to tardive dyskinesia, blurred vision, and respiratory depression.
- Other side effects include hypotension, constipation, dry mouth, sedation, tachycardia, urinary retention, neuroleptic malignant syndrome, and agranulocytosis.
Medication/Food Interactions
- Caution with antihypertensives as it can cause hypotension.
- Increased CNS depression may occur when combined with other CNS depressants, alcohol, or anticholinergics.
- Interaction with caffeine and carbamazepine also needs to be considered.
Nursing Interventions/Client Education
- Patients should take the medication as directed and be aware it may cause drowsiness.
- Advise patients to change positions slowly to avoid dizziness.
- Monitor for possible extrapyramidal symptoms and educate on their management.
- Alcohol consumption should be avoided.
- Recommend using sunscreen due to the drug's effects on temperature regulation.
- Emphasize the importance of mouth care and oral hygiene to mitigate dry mouth.
Therapeutic Uses
- Aimed at reducing signs and symptoms of psychoses.
- Also indicated for improving behavior in children with Tourette's syndrome and other behavioral issues.
Nursing Administration Concerns
- Avoid skin contact with the oral solution.
- Administer oral doses with a full glass of water or food to reduce gastrointestinal irritation.
- IM injections should be given slowly using the Z-track method, with a maximum of 3 ml per site.
- Patients should remain recumbent for at least 30 minutes post-injection to minimize hypotensive effects.
Evaluation of Medication Effectiveness
- Effectiveness is indicated by a reduction in hallucinations, insomnia, agitation, hostility, and delusions.
- In patients with Tourette's syndrome, decreased tics and vocalizations signify improvement.
- Enhanced behavior in children with severe behavioral problems is also a positive outcome.
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Description
Test your knowledge on Haldol (haloperidol) with these flashcards. Review drug classifications, dosage ranges, and pharmacological actions. Perfect for pharmacology students or healthcare professionals looking to reinforce their understanding of this antipsychotic medication.
