PRN meds - question PRN meds - question | allnurses

PRN meds - question

  1. 0 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.
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  2. 7 Comments

  3. Visit  jojotoo profile page
    #1 0
    Yes, you can give it as you asked. But you won't be able to give another PRN dose for six hours.
  4. Visit  MSN Student profile page
    #2 0
    Thank you for your very quick reply. It is very appreciated.
  5. Visit  jojotoo profile page
    #3 0
    Glad to help. :spin:
  6. Visit  classicdame profile page
    #4 0
    In general you could look up the drug in your reference material to see what the maximum dose is at any given time or within 24 hours. For instance, a lot of people think Tylenol is absolutely safe. But you can overdose on that too!
  7. Visit  morte profile page
    #5 0
    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.
    the best bet would be to have the doc write a more specific order, ie "not to be given closer than...."
  8. Visit  PsychRN-Kris profile page
    #6 0
    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.
  9. Visit  MSN Student profile page
    #7 0
    Thanks so much for the help!

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