Quote from pammc000
I'm a new nurse. If you have a patient say on Ativan tid and PRN q6h, can you give the PRN Ativan one or two hours after you've given the scheduled dose of Ativan, if the scheduled dose isn't doing the job. Sorry if this is a dumb question.
Don't be sorry...this actually a very good question! Yes, as the previous posters noted, it is okay to give the PRN dose as ordered if the scheduled dose is not working as long as the PRN doses are 6 hours apart. A Not To Exceed is usually written with a Ativan since the maximum dose recommended for adults is usually 10mg/24hours. If the patient were getting 2mg TID and another 2mg PRN q6h they could potentially get 12mg+ in 24 hours. I'd ask the physician to clarify the order with a NTE__mg/24hrs.