Re: med administration question
One thing to consider is the drugs themselves. Ativan is not for pain, it is an antianxiety medication, Dilaudid is for pain. Given together the drugs have a synergistic effect and potentiate each other within the patient. The nurse could simply be breaking up to doses to prevent overly sedating the patient.
She still gave the medications on a q4hr basis, and by spreading the doses out provided the patient with adequate relief from pain and accompanying anxiety, without providing her with a big hit of medications all at once. That way her relief is more constant.
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