Agitation
- Thread starter usalsfyre
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8jimi8
CFRN
- 1,792
- 9
- 38
Any part where the patient's vitals are going the opposite direction of where you need them, the patient shows any type of social/physical discomcomfort/anxiety/restlessness (clinical restlessness).
Haldol because it doesn't affect breathing (or if they go berserk on ativan)
ativan (if they go berserk on haldol)
zyprexa (Sl/iv/im) (seen it work omccassionally)
versed (usually not ordered unless the patient needs to be sedated)
depending on clinical presentation morphine, or O2
((not necessarily in that order, but that is usually my chemical means of deescalation)
Haldol because it doesn't affect breathing (or if they go berserk on ativan)
ativan (if they go berserk on haldol)
zyprexa (Sl/iv/im) (seen it work omccassionally)
versed (usually not ordered unless the patient needs to be sedated)
depending on clinical presentation morphine, or O2
((not necessarily in that order, but that is usually my chemical means of deescalation)
8jimi8
CFRN
- 1,792
- 9
- 38
Oh and I left out the rare xanax / valium
and
"tie grandma/pa to the bed"
and
"tie grandma/pa to the bed"
Hockey
Quackers
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Oxygen is a good treatment for agitation a lot of times. Agitation is a good sign of hypxoia quite often
605medic
Forum Probie
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Whose?
Are we talking about an agitated pt or my agitation from dealing with said pt? Lol
Are we talking about an agitated pt or my agitation from dealing with said pt? Lol
NomadicMedic
I know a guy who knows a guy.
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Agitation? I think it's hard to describe.
Some folks are restless, some are wired, some are want to fight, others want to run.
The best I can say is, you'll know it when you see it.
And my TX is usually Ativan. Although I do have Versed as my second option on the 911 rig.
At my other service my options are a little more varied. I can use Droperidol, Versed, Valium, Ativan, Promethezine or Benadryl as needed/warrented.
Some folks are restless, some are wired, some are want to fight, others want to run.
The best I can say is, you'll know it when you see it.
And my TX is usually Ativan. Although I do have Versed as my second option on the 911 rig.
At my other service my options are a little more varied. I can use Droperidol, Versed, Valium, Ativan, Promethezine or Benadryl as needed/warrented.
Melbourne MICA
Forum Captain
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Hers a couple of "official" definitions which I think cover it pretty well (see bottom). The trick is choosing when to intervene and this varies depending on the cause which may be emotional/stress/anxiety related or substance related. The aforementioned may well get TLC/patience/calming and supportive efforts from you first and foremost (or perhaps the subtle interventions of the constabulary when the issues are anger related).
When substances are involved the best (safety related) option may well be an IM or, with much a much higher risk potential, an IV injection of whatever your local protocols allow.
Two pretty different kettles of fish I am sure the boys would all agree. When you are giving meds without patient consent (more likely than not especially in the substance affected pt) there are also legal considerations to keep in mind.
In all the patients the obvious thing to recognise is of course, they are conscious and 99% of the time non-compliant.
Keep your cool and backoff if you need to and use other more burly types to assist if warranted for the sake of the patient (and you).
MM
PS We should be so lucky to have such a wide and colourful selection of meds to choose from!!!! Its IM midaz for us only!!! (You can sneak in some IV as well if you can secure a port without sticking yourself in the process!!).
agitation /ag·i·ta·tion/ (aj″ĭ-ta´shun) excessive, purposeless cognitive and motor activity or restlessness, usually associated with a state of tension or anxiety. Called also psychomotor a.
Dorland's Medical Dictionary for Health Consumers. © 2007 by Saunders, an imprint of Elsevier, Inc. All rights reserved.
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agitation,
a state of chronic restlessness and increased psychomotor activity generally observed as an expression of emotional tension and characterized by purposeless, restless activity. Pacing, talking, crying, and laughing sometimes are characteristic and may serve to release nervous tension associated with anxiety, fear, or other mental stress. agitate, v.
Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier.
When substances are involved the best (safety related) option may well be an IM or, with much a much higher risk potential, an IV injection of whatever your local protocols allow.
Two pretty different kettles of fish I am sure the boys would all agree. When you are giving meds without patient consent (more likely than not especially in the substance affected pt) there are also legal considerations to keep in mind.
In all the patients the obvious thing to recognise is of course, they are conscious and 99% of the time non-compliant.
Keep your cool and backoff if you need to and use other more burly types to assist if warranted for the sake of the patient (and you).
MM
PS We should be so lucky to have such a wide and colourful selection of meds to choose from!!!! Its IM midaz for us only!!! (You can sneak in some IV as well if you can secure a port without sticking yourself in the process!!).
agitation /ag·i·ta·tion/ (aj″ĭ-ta´shun) excessive, purposeless cognitive and motor activity or restlessness, usually associated with a state of tension or anxiety. Called also psychomotor a.
Dorland's Medical Dictionary for Health Consumers. © 2007 by Saunders, an imprint of Elsevier, Inc. All rights reserved.
--------------------------------------------------------------------------------
agitation,
a state of chronic restlessness and increased psychomotor activity generally observed as an expression of emotional tension and characterized by purposeless, restless activity. Pacing, talking, crying, and laughing sometimes are characteristic and may serve to release nervous tension associated with anxiety, fear, or other mental stress. agitate, v.
Mosby's Medical Dictionary, 8th edition. © 2009, Elsevier.
Sasha
Forum Chief
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Agitation is when they start screaming at you. Combative is when they start trying to smack/spit/hit/kick/bite/scratch/lick.
We don't do anything for it most of the time because the nursing home will not accept a patient who has been chemically or physically restrained or sedated during transport.
If we are taking them away from the nursing home, however, there are poseys(And hopefully you've had the foresight to take them out of the bottom cabinet by the patients head before you got the patient) or haldol.
We don't do anything for it most of the time because the nursing home will not accept a patient who has been chemically or physically restrained or sedated during transport.
If we are taking them away from the nursing home, however, there are poseys(And hopefully you've had the foresight to take them out of the bottom cabinet by the patients head before you got the patient) or haldol.
Aidey
Community Leader Emeritus
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katgrl2003
Forum Asst. Chief
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That was my thought as well.