I had a pediatric pt in the ED with a rash. After bothering the little guy with several procedures that he tolerated with great difficulty, he fell asleep. The physician ordered liquid Benadryl and liquid prednisone. Of course, these meds came in pre-filled syringes. Since the pt had been through a lot and was finally asleep, the parent asked if she can take the meds home and administer them in the comfort of their own home. As a parent, I wanted to allow it. As a nurse, I didn't want to allow it. What should have been done?
Aug 31, '12
If the mom had a prescription from the medical doctor, there would be no problem. In other words, a prescription that mom can use the hospital approved medication for home use. However, for further thought, if the physician ordered the medication, the patient should be given it. Not only that, the patient could decompensate, especially if there was a problem with a reaction or breathing problems. A child can sleep through a reaction. Wake the child up and give the medication as ordered.
Last edit by brendadale on Aug 31, '12
: Reason: Further thought