can you mix haldol and cogentin in same syringe

How Long Does Cisplatin Stay In Your System Cardizem, Permethrin Cat Flea Collar Cefixime, Instead of needing 4mg of lorazepam IM to sedate a patient, if you combine it with Haldol,you only may need 1 or 2 mg and vice versa. Can you mix Haldol and Ativan in the same syringe for injection? Chronic Migraine Treatment Diabecon, The extrapyramidal symptoms include acute dyskinesias and dystonic reactions, tardive dyskinesia, Parkinsonism, akinesia, akathisia, and neuroleptic malignant syndrome. Another reason to be concerned is that taking haloperidol at bedtime may make you feel sleepy or less alert the next morning. What characteristics allow plants to survive in the desert? Versed (midazolam) is an acceptable alternative to Ativan. The study is created by eHealthMe based on reports of 1,267 people who take Haldol and Cogentin from the FDA, and is updated regularly. Im Syringe Compatibility Chart psychotropic injectable compatibility erjz moshinschool com, mosby s 2012 . We do not want respiratory depression or other serious side effects. Phenergan Ingredients Viagra, He is not hypoxic or hypoglycemic (but if there is a suspicion of this, it is easy enough to get a pulse oximetry reading or a finger stick blood sugar). Maybe some patients would become too sedated to take PO meds? allnurses, LLC, 175 Pearl St Ste 355, Brooklyn NY 11201 These medications may be given alone or in combination. No. Haldol (haloperidol) Klonopin (clonazepam) Lamictal (lamotrigine) Latuda (lurasidone) Lexapro . Unlike tardive dyskinesia, dystonic reactions are a nuisance, trivial and easily treated. Benadryl 50 mg, Haloperidol 5 mg, and Lorazepam 2 mg in the B52 category, in addition to Benadryl. Antihistamines, such as diphenhydramine (Benadryl), could be included in this list. can i mix haldol and cogentin im in the same syringe. No, it is not OK to mix the two in the same syringe..you saw the result. It is critical to consider the risks of using these medications before writing a prescription to a patient. I often stress the need for finding the etiology of agitation to our providers. Clindamycin Reddit Acne Allopurinol, 1 Article; But opting out of some of these cookies may affect your browsing experience. The one reasonably common adverse effect of acute IM Haldol administration is a dystonic reaction. Involuntary Chemical SedationThe Right Medications. is this due to depression or meds? Pubic Lice Prevention Bactrim, Minimize risk; assess risk and consider an alternative drug, take steps to circumvent the interaction risk and/or institute a monitoring plan. I gave a patient haldol and cogentin IM. I learned that leason and now I always carry a drug book with me. Some people, especially the elderly, may also experience impairment in thinking, judgment, and motor coordination. In practical terms, this means that if they are combined, you can use a smaller total dose of each agent. Remember that our goal is to sedate the patient so that he can be released from physical restraints. What Are The Most Effective Ways To Quit Smoking? Maybe this is part of my newbieness? You can mix haldol and ativan for an IM injection. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Create well-written care plans that meets your patient's health goals. I have allergies to this medication (similar to people with peanut butter allergies),. He is screaming offensive obscenities. 2 What drugs should not be taken with Haldol? Tretinoin Niacinamide Cream Viagra Soft, Can You Take Antibiotics And Tylenol Together Ranitidine, Stopping Calcium Channel Blockers Suddenly Atarax, There are 339 drugs known to interact with Cogentin (benztropine), along with 12 disease interactions, and 2 alcohol/food interactions. Doesnt matter, as long as the Cogentin is given aloneits not really compatible with mixing. , . In addition to haloperidol (a 5 mg cocktail of Lorazepam, 2 mg cocktail of Cogentin, and 2 mg cocktail of Haloperidol), this has proven to be a successful treatment. Compounded Pain Cream Ingredients Yasmin, . A wrist gel with lorazepam (Ativan), diphenhydramine (Benadryl), and haloperidol (Haldol) applied to the volar surface. Can you take Haldol and Ativan at the same time? I know Benadryl and Cogentin are contraindicated but don't see how cogentin and Haldol are. Grapefruit And Immunosuppressants Voltaren Sr, Momordica Charantia Benefits Female Cialis, The cookie is used to store the user consent for the cookies in the category "Other. Oral dosage (immediate-release formulations) Adults Initially, 2 to 3 mg/day PO given in 2 to 3 divided doses. If a patient exhibits violent behavior or is psychotic, it is critical to use these medications with caution. Many providers at my institution add 50 mg of diphenhydramine to the syringe, and call the combination a B-52 for Benadryl + 5 mg haloperidol + 2 mg lorazepam. December 11, 2022 Samuel Syringes Most Physicians Would Not Recommend Mixing Haldol And Benadryl In The Same Syringe Most physicians would not recommend mixing haldol and benadryl in the same syringe. It's done frequently done in situations of frank psychoses, like in an ER or psychiatric facility and can be. Dystonic reactions involve involuntary muscle contractions usually in the neck, shoulders or face, but also elsewhere. Get The Best of Jail Medicine by clicking here! This combination works faster than using either drug alone. We dont spam! List Of Antibiotics For Plants Seroquel, administration diabetes care, syringe compatibility chart use within 15 minutes, to mix or not to mix compatibilities of parenteral drug, trissels 2 iv compatibility truven health analytics, im multiple med compatibility amp technique general, injection compatibility reducing risk medicines, palliative care medications commonly used Now check your email to confirm your subscription. And benadryl be mixed together im - Adobe flash player para. allnurses is a Nursing Career & Support site for Nurses and Students. TIPS FOR SAFE PRESCRIPTION WRITING** 1. Foods That Raise Psa Levels Procardia, Specializes in mental health / psychiatic nursing. I told him they were violating my civil rides by keeping me in the cell for more than 24 hours at a time. Lebanese Drug Index 2019 Cleocin Gel, Overnight $5.53 x One tablet haldol 10 mg with eCheck. This is not a dumb question. Specializes in NICU, PICU, Transport, L&D, Hospice. On eHealthMe, you can check real-world data from 16 million patients, and personalize the results to your gender and age. There is blood on his face and on the wall. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Classic Rock Band Home; Bio; Blog; Cart; Checkout; Checkout. The combination can increase cardiorespiratory depression. Chemical sedation is part of the array of options to treat acute agitation. Drug interactions are reported among people who take Haldol and Cogentin together. Can you put Ativan and Haldol in the same syringe? Subscribe on iTunes, Android, or Stitcher. I give two shots and this might sound really stupid but I have wondered why we can't give the Haldol IM then the Cogentin PO after they are calm? If Father Has Type 2 Diabetes Will Baby Get It Reglan, My pharmacist told me that mixing the two would cause crystalization if let to stand over 20-30 minutes. Nevertheless, ensuring these agents are titrated off is a critical part of treating such disorders and preventing poor outcomes. Haloperidol has been evaluated in a large number of clinical trials alone and in combination with benzodiazepines. When I made a point of asking about this, I was told that it "takes too long" to administer two IM's during a takedown. Conclusion While some general principles can be applied to the mixing of injection solutions, they are fraught with exception and applicability varies with circumstance. PsychNurseWannaBe, BSN, RN 747 Posts Specializes in LTC, Nursing Management, WCC. You should have some kind of drug compatibility program on your computer, like Lexicomp. The standard dose of the combination used for chemical sedation of the agitated patient is "ten and two" meaning 10mg of Haldol and 2mg of Ativan. The ideal first line medications to use for rapid tranquilization of an acutely agitated patient are benzodiazepines and antipsychotics. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Please check with a physician if you have health questions or concerns. These studies demonstrate that intramuscular haloperidol is both safe and effective in the treatment of agitation caused by virtually any etiology Roberts: Clinical Procedures in Emergency Medicine,5th ed. Gain confidence in your ability to save lives and improve patient outcomes: Free downloadable PDFs to help you in your practice. Video chat with a U.S. board-certified doctor 24/7 in less than one minute for common issues such as: colds and coughs, stomach symptoms, bladder infections, rashes, and more. When the cause of acute agitation is a psychiatric disorder, I prefer to use an antipsychotic such as haloperidol 5 mg IM/IV. Generic NuvaRing 2019 Super P-force, On the other hand, lorazepam is an excellent choice for stimulant overdoses. Home; FAQ; Contact Can you mix Ativan and Thorazine together? Usual Adult Dose for Agitation -Initial doses of up to 100 mg/day have been necessary in some severely resistant cases. The standard dose of the combination used for chemical sedation of the agitated patient is ten and two meaning 10mg of Haldol and 2mg of Ativan. For one, we typically use 10, 2, and 50 mg, which is 4 mL and too much for one muscle. AWSTATS. Letrozole And Antidepressants Combimist L Inhaler, Hmmm.pharmacy told me not to mix haldol and Ativan. This cookie is set by GDPR Cookie Consent plugin. Gabapentin And Adderall For Depression Aciphex, By using the site you agree to our Privacy, Cookies, and Terms of Service Policies. Galantamine Classification Zestril, Of the total drug interactions, 6 are major, 314 are moderate, and 19 are minor. Any contraindications to this? Buspirone (Buspar) is an example of a salative. The Risks Of Reusing A Syringe For Testosterone Injections, 8 Useful Organic Remedies Worth Considering For An Energy Boost, The Rise of Autism: How Parents Are Coping. Generally, control of the patients agitation is achieved within 15-20 minutes with these medications. Answer: No. The cookie is used to store the user consent for the cookies in the category "Analytics". Get new podcast episodes sent to your inbox: This site uses cookies to ensure you receive the best experience. Haldol has been safely used for this indication (probably) millions of times world-wide. The relatively low incidence of anticholinergic side effects, coupled with the lack of effect on haloperidol blood levels or antipsychotic efficacy, suggest that moderate doses of benztropine in conjunction with haloperidol are a rational approach for the treatment of acute psychosis in young patients. Cares Act Otc Wellbutrin Sr, The study is created by eHealthMe based on reports of 78 people who take Haldol and Versed from the FDA, and is updated regularly. There is nothing wrong with any of these agents, and if you already use them and are comfortable with them, that is great. Can you mix Haldol and cogentin in same syringe? It almost can be thought of as an antidote to stimulant poisoning. So the patient who is agitated while tweaking on meth would do well receiving lorazepam. Use of this site constitutes acceptance of eHealthMe.com's terms of service and privacy policy. No, it is not OK to mix the two in the same syringe..you saw the result first hand. Haldol is an older antipsychotic medication that works by blocking dopamine receptors in the brain, while Ativan is a newer medication that works by increasing the action of the neurotransmitter GABA. compatibility of haldol ativan and cogentin given intramuscular. Use a typewriter or computer if necessary. It does not store any personal data. How to smoke a op Many providers at my institution add 50 mg of diphenhydramine to the syringe, and call the combination a "B-52" for Benadryl + 5 mg haloperidol + 2 mg lorazepam. Risperidone Side Effects Long-term Female Viagra, Read our [link]privacy policy[/link] for more info. Since 1997, allnurses is trusted by nurses around the globe. I don't want someone to get hurt because the staffing is so short that they cannot properly apply the restraint technique long enough for me to get in and do what I need to do. The drug is formulated with non-aqueous solubilising agents and the solution is adjusted to a pH of 12. Arimidex And Claritin Cialis, Can you mix haldol Ativan and cogentin for IM? Oxytrol Patch Reviews Parlodel, Can you take Haldol and Cogentin together? I discussed the use of ketamine for agitation in more detail in episode 18, along with 2 other unique options that dont put the patient at risk of respiratory failure. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. When I gave the second shot I noted that just prior to injecting, the fluid had formed precipitate. We usually use the Ativan -Benadryl- Haldol cocktail. I have developed Neuroleptic Malignant Syndrome which is excruciating, ruining my 35 year marriage to the man I love, and changing my personality to something ugly. By clicking Accept All, you consent to the use of ALL the cookies. If it takes 2 hours for the drug to peak (I want to say . Can be mixed in the same syringe as lorazepam or midazolam. Top answers from doctors based on your search: Created for people with ongoing healthcare needs but benefits everyone. | Jail Medicine. Create well-written care plans that meets your patient's health goals. ACCP needs your expertise! These two drugs are compatible in syringe and should be mixed so that only one injection is needed. Join Here! Geodon (ziprasidone) and Benadryl (diphenhydramine) are both antipsychotic medications. 6,621 Posts. See the 2018 Spring Conference Agenda. When the cause of acute agitation is drug intoxication or withdrawal I prefer to use a benzodiazepine such as lorazepam 2 mg IM/IV. The process is consistent with procedures used in any setting when there is a clear risk of harm to self or others due to behavior. Most physicians would not recommend mixing haldol and benadryl in the same syringe. This tool may not cover all possible drug interactions. Both of these are very rare, however, and the risk is far less than the risk of prolonged physical restraint. While haloperidol and lorazepam can cause serious side effects when combined, it is critical to consider the benefits of using these medications against the risks. Critical Care and Hospital Pharmacy Resources for Hospital Pharmacists, PGY-1 Pharmacy Residents, PharmD students, and Preceptors, In this episode Ill discuss chemical sedation for acute agitation. 11 Articles; You can mix haldol and. I learned antipsychotics at school and I thought I knew most psych meds pretty well. The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. They offer no advantages to Haldol, however. Because of the possibility of a dystonic reaction to IM Haldol, some practitioners give Benadryl 50mg IM at the same time as the Haldol. Has 12 years experience. I am having a similar concern at a psych ER that I am currently in orientation with. They both achieve the same goals of sedation as well as heading off EPS side effects. Op oxycontin chewing. The two drugs are so compatible that you can mix them together in the same syringe. Dosages Preparation: 5 mg/ml vial Can you mix haldol and ativan in same syringe and haldol (haloperidol) are incompatible in the same syringe- a white precipitate will . In debilitated adults give 1 to 2 mg/day PO in 2 to 3 divided doses initially. Yes. Can haldol and ativan be mixed in same syringe Ask an Expert: Combining Meds in. You can give Haldol and Ativan separately or mix them. Dimenhydrinate For Sleep Clozaril, Acute dystonic reactions are easily reversible, using an antihistamine, like Benadryl. What drugs should not be taken with Haldol? How is haldol, (haloperidol) haliperidol? 1-612-816-8773. Specializes in Psych, Substance Abuse. Lets start by setting the stage: Our patient is a 35 year-old man who is angry that he has been arrested in a domestic dispute case. I was in jail 10 days total I only remember three of them they overdosed me I had to go to the emergency room. can you mix haldol and cogentin in same syringe. There are 2 alcohol/food interactions with Cogentin (benztropine). Where I work, it is policy not to combine any drugs in an IM syringe. Multi-dose vials are labeled as such by the manufacturer and typically contain an antimicrobial preservative to help prevent the growth of bacteria. Interactions between your drugs Using LORazepam together with benztropine may increase side effects such as dizziness, drowsiness, confusion, and difficulty concentrating. He is agitated and belligerent and wants to fight. Can you mix Haldol and Ativan in the same syringe for injection I've been putting haldol, benadryl and ativan in the same syringe for the. prescribed for psychotic disorders,Tics/Vocal tics in Tourette's Disorder. Ive never seen that in an inpatient or emergency setting, Your email address will not be published. I dont use drugs I was not drunk. This study guide will help you focus your time on what's most important. Although the parenteral formulation of olanzapine is labeled for IM use only, I discussed the evidence behind IV olanzapine for agitation back in episode 43. 922 Posts. If a patient does develop dystonia the next day, 50mg of Benadryl given orally will solve the problem quickly at that time. Budesonide Spc Stendra, Hd\5@,T3!StR?~. On eHealthMe, you can check real-world data from 16 million patients, and personalize the results to your gender and age. This halperidol is the worst medication and is prescribed misproperly by doctors who just want to keep a job. Rifaximin Package Insert Brand Temovate, 1. 1-612-816-8773. Minimally clinically significant. To learn more, please visit our. ACCP represents our interests with the American Medical Association, the National Commission on Correctional Medicine, the American Correctional Association and others. Maybe it was facility specific. THATS THE POINT. I take a lot of meds such as haldol (haloperidol) 5mg, lamictal 400mg, lithium 900mg, cogentin, humira and i'm tired/sleepy alot. Our mission is to Empower, Unite, and Advance every nurse, student, and educator. If you must use both medications, it is recommended that you do so at least an hour apart to avoid any potential interactions. Haldol and cogentin IM - Nursing Community / Nurses / Nursing Students, Can you mix haldol and ativan for intramuscular injection, Mixing medications for emergency treatments, Ativan haloperidol compatible in same syringe, Can you mix haldol and ativan in same syringe, Why cant haldol and ativan im be mixed // joseph b cryer, Can you mix Haldol and Ativan in the same syringe for injection, Sep 13, 2011 - frondeticopahens's Space - Welcome to Posterous Spaces. Warfarin Drug Interaction Provigil, can you mix haldol and cogentin in same syringe About; FAQ; Contacts; Location You can mix haldol and ativan for an IM injection. haloperidol benztropine You may need dose adjustments or special tests in order to safely use both medications together. The medical term for this is that they are synergisticthey increase each others effectiveness. Hello, Im a new nurse who got hired in adult psych inpatient. Created for people with ongoing healthcare needs but benefits everyone. please excuse my ignorance, but if you're going to have to give two injections anyway due to the volume, why mix them? It is possible to mix these two medications in the same syringe, but it is important to make sure that the doses are properly calculated. Malarone Vs Hydroxychloroquine Viagra Plus, By using our website, you consent to our use of cookies. how long do side effects last? mixed in the same syringe for use in a syringe driver over 24 hours. Strongest Natural Antibiotic Genegra, After I explained why this is not to be done she rolled her eyes at me. * Approximation only. Enter other medications to view a detailed report. Kudos to you for asking on this site even though 2 nurses at your job said it was OK. Chemotherapy has been shown to be effective in treating nausea and vomiting caused by nausea and vomiting. Per Drugs.Com drug interaction checker - there is a moderate chance for a drug interaction btwn haldol (haloperidol) & alcohol and a moderate chan does not mix well with either medication. This study guide will help you focus your time on what's most important. Up tp 24 hours or so: The side effects of Haldol (haloperidol) should normally take about 24 hours, but some such as akathesia may take a couple of days. They may work even better when given together. Haldol (haloperidol) and Ativan (lorazepam) are both antipsychotic medications. Lorazepam 2 mg IV / IM is administered. Doctors typically provide answers within 24 hours. Haldol has also been reported to lower the seizure threshold, but this is controversial. Complimentary Access for Your Student/Resident, 6 Hours ACPE CE Credit for Code Blue & Rapid Response Training Program. I was drugged in the San Diego county jail. Analytical cookies are used to understand how visitors interact with the website. syringes of selected combinations of medications were prepared on a clean tabletop under fluorescent light at room temperature. The two drugs are so compatible that you can mix them together in the same syringe. A Pharmacists Guide to Inpatient Medical Emergencies: How to respond to code blue, rapid response calls, and other medical emergencies. Possibilities include Inapsine (droperidol), Geodon (ziprasidone), and Zyprexa (olanzapine). All rights reserved. Thorazine can be combined with Benadryl or Cogentin Haldol can only be combined with Ativan Ativan can only be combined with Haldol Benadryl can only be combined with Thorazine. I am no threat to myself or to others, I used to be hopeful, happy, and content. Can a prescribing psychologist prescribe cogentin along with haldol (haloperidol) since it is not cogentin is not specifically a "psychiatric drug"? Many nurses I work with did not know that you should not mix IM Zyprexa and Ativan (or any other benzodiazepine). drawing up Ativan is a problem for it is thick & getting it into a syringe. Venlafaxine Dose Ventolin Inhaler, One of these is Q-T prolongation that can, potentially, cause dysrythmias. I dont usually use the atypical antipsychotics in acute agitation, but they may be useful if the patient is semi-cooperative and willing to take an oral dissolving tablet such as olanzapine. These two drugs are compatible in syringe and should be mixed so that only one injection is needed. | Jail Medicine. If you have any of the symptoms listed below, you should consult a physician to determine whether you have bladder problems, dry mouth, stomach pain, fever, blurred vision, confusion, dizziness, or a lower heart rate. Cogentin Oral, Cotropine Oral. My advice is to honor your facility's compatibility chart. If excessive doses of benzodiazepines or antipsychotics are ineffective, ketamine may be used as a rescue treatment for acute agitation. The only times I have combined drugs when giving injections is to save the patient a poke. Statin Lawsuit 2018 Tadora, Specializes in Med-Surg, Geriatric, Behavioral Health. We are not talking here about Tardive Dyskinesia. This facility takes in violent, psychotic patients who are out of control. Today I learned that ativan and haldol can be mixed for Im injection (which I had absolutely no idea bf). Can You Mix Haldol And Ativan In Same Syringe There is no definitive answer to this question as it depends on a variety of factors, including the individual's medical history and the severity of their condition. What Liquid Goes In A Nebuliser Entocort, Specializes in Med nurse in med-surg., float, HH, and PDN. My drug book said give in large thigh muscle vastus lateralis or gluteus site near greater trochator. You can give Haldol and Ativan separately or mix them. Digoxin Loading Dose Calculation Endep, If circumstances are so compelling as to warrant mixing any We comply with the HONcode standard for trustworthy health information. A grizzled LPN veteran taught me a nice little trick, pull up your haldol first in the syringe and inject it into your Ativan vial, then draw both of them up. Each has advantages and disadvantages that should be considered. We use Haldol and Ativan. Cogentin Interactions. Everywhere I've worked has it. None are more effective and none are safer. Acute dystonic reactions are easily reversible, using an antihistamine, like Benadryl. Traditional Treatment For Constipation Combivent, There are no contraindications, to this. They Almost killed me they overdosed me and I didnt even know I had went to the hospital I thought that I was dreaming I was in the back of an ambulance strapped down and handcuffed thats after they shot me about 15 times with pepper balls. Our members represent more than 60 professional nursing specialties. Haldol and Ativan are compatible, and usually given in the same There are no contraindications, to this. The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. This material is provided for educational purposes only and is not intended for medical advice, diagnosis or treatment. Clinical Drug Interactions Source: Medscape from WebMDDisclaimer: The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. ACCP needs you! Originally, it was known as Benadryl, 5 mg haloperidol, and 2 mg lorazepam, but has evolved into 50mg of an anticholinergic, either haloperidol or droperidol, plus 2 mg of a benzodia. I've been working in psych for almost 2 years. Only 1 in 6 or 7 patients who receive a single Haldol injection will develop dystonia. There is no antidote for an overdose of haldol (haloperidol). To receive a prescription for medication, o Dr. Natalie Hodge and another doctor agree, Dr. Donald Jacobson and another doctor agree. It is tried and true. It is Vitamin H. The Velvet Hammer. 5 Can you take Haldol and Cogentin together? Tardive Dyskinesia is also involuntary muscle contractions but these occur after years of neuroleptic medication use and are irreversible. Do you need underlay for laminate flooring on concrete? Has 11 years experience. The information provided here is for informational purposes only. Can you mix Haldol Benadryl and Ativan in the same syringe? Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. What are the dangers of interaction haldol/cogentin (dx: schizophrenia/bipolar) & alcohol/marjuana consumption? Please try again. The two main drug classes that have been traditionally used for this type of chemical sedation are the benzodiazepines and the antipsychotics. Valium can be used but is not as good because it is not well absorbed from an IM injection. Coveram Lipitor, I wonder now 6 Articles; Famotidine Bulk Price Himcolin, These cookies will be stored in your browser only with your consent. Be aware that if frequent redosing is used to control agitation, the effects of the medications may stack and the patient may suddenly experience respiratory arrest. Antipsychotic medications commonly produce extrapyramidal symptoms as side effects. Usually you will take the cogentin with the Haldol. 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Has 15 years experience. Alprazolam (Xanax) is an anxiolytic agent that is used as a tranquilizer. It's done frequently done in situations of frank psychoses, like in an ER or psychiatric facility and can be referred to as "halivan.". Cogentin News, latest about Cogentin, Cogentin in the news, Cogentin video, Cogentin on tv Nebcin Vistaril Lithium Haldol Ativan Depakote. You can mix haldol and. Each had some 1 cc of haldol and 1 cc of cogentin. Its illegal to to force any person to take an injection thats mixed with a dangerous cocktails of meds that can cause an array of effects including death, I guess you can call it death by lethal injection.

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