Chemical restraint
Issue with a patient recently who was being noncompliant with necessary treatment (treatment dose anticoagulant), extremely aggressive at times, and delirious.
I initially had her on only as needed Zyprexa, but toward the end of shift, she had a major episode that involved her attacking staff with an Iv pole and trying to bite a security guard.
I believe I had around five of Zyprexa Q4 and was up to a 3 mg dose of Ativan, none of which was really working at all. I had her in nonviolent restraints since she tried to attack staff which she managed to break out of multiple times.
I actually got her to calm down and adhere to her treatment, but I don’t think it had much to do with the sedatives I gave her, she stayed pretty wiry throughout the whole ordeal. I was wondering if any of you had a go to regimen you used for cases of refractory agitation/aggression.