BID strictly every 12h or just twice a day? - page 2
I am a new grad and just started my first nursing job. I was doing med pass and a patient asked me for a prn pain med that was BID. I told them they had just had it about 5 hours before so they... Read More
Nov 4, '12 by Daisy_08, BSN, RNFor me it would depend on the med. If is was Acetaminophen, I`d give it and let them know that`s it for the day, Hydromorph Contin - they are waiting. However in this case I`d do a good pain assessment and call up the doc for better pain control.
Our docs specify if they want BID to be specific, otherwise you use your critical thinking skills. 0800 and 1700 because it needs to be taken with food, or will keep them up at night or 0800 and 2100 because they get the best therapeutic effect by having it in there system at all times.
Nov 4, '12 by PlagueisFor PRN orders, our consult pharmacist discourages orders without a specific time frame. If an order is BID PRN, it should be written every 12 hours, or for TID PRN, every 8 hours. This is to prevent confusion about exactly how much time should pass between PRN doses. (I work in LTC.)