Haldol for Agitation

BOLUS

  • 0.5-10mg initially, then q15-30 minutes until calm achieved (double initial bolus dose sequentially)
  • Maintenance dose: administer 25% of last bolus dose q6h, then taper over several dose
  • Monitor ECG and QTc
    • QTc prolongation with ≥35 mg/day
    • risk of torsade greater if ≥35 mg received within <6 hours

DRIP

  • Continuous infusions 0.5-2 mg/hour
  • may load with 2.5 mg IVx1
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