I'm in all of my second week of clinicals, and I'm well aware that I'm not expert on, well, anything. Doing our weekly paperwork we're obviously responsible for looking up all the meds that our patient is taking. I know that there must be many reasons that I'm not seeing in my drug guide for why meds are being taken, but it seems that people are really overmedicated and some of the combinations don't make sense to me. I have one med that says in the nurses notes in Davis "advise patient not to take within two hours of antacid", well it's prescribed for administration at the same time as an antacid. I'm sure I'll bring that up with my clinical instructor. There are also three different depression medications- including an antipsychotic and an ADHD med for a patient with no diagnosis beyond depression- and two of them cause insomnia. Then there are two sleep medications because the patient complains of insomnia.
With full understanding that I don't know everything, and I'm unlikely to uncover any life-changing medication interactions. Do you question every med order that doesn't make sense to a beginning student? With 8 students, our clinical instructor will never get through anything if she has to spend an hour on meds with each of us. And I don't really want to be the dork that comes across as trying to look like a know-it-all if I question things. Will this all just become more clear?