probably a very basic med question..... - page 2

I have patients who take gel capsules (both colace and b12) but because the patients can't swallow these, I'm asked to open them and squirt in with their crushed meds. (Why they don't get these in... Read More

  1. Visit  morte profile page
    0
    had to check, CoQ10 come in a liq. also. didn't check the price, but I would hazard a guess you wouldn't get that one by the accountants....lol.
    Quote from KelRN215
    I recall having to do this with CoQ10 in the hospital. We poked the capsule with a blunt tip needle and then tried to squeeze the liquid out into a syringe. It turned our hands orange and the stuff had the consistency of paint. Try putting that down a G-tube and having any way of knowing that your patient got what they were supposed to get. Colace definitely comes in liquid so it's completely asinine to have to do what you're doing.
  2. Get the hottest topics every week!

    Subscribe to our free Nursing Insights newsletter.

  3. Visit  KelRN215 profile page
    0
    Quote from morte
    had to check, CoQ10 come in a liq. also. didn't check the price, but I would hazard a guess you wouldn't get that one by the accountants....lol.
    Yeah, occasionally we had people who brought in their own supply (which the pharmacy would refuse to verify because it was a liquid med and then we'd have to get an Attending MD to override and say we could administer it) but the hospital itself didn't carry the liquid version.
  4. Visit  onthemark profile page
    0
    The best bet seems to be MrChicagoRN's suggestion of a paper clip that can be cleaned before each use and then discarded. I'm going to try that today! Meanwhile, I'm relieved to report that the head nurse on another shift took the initiative and ordered the liquid colace! The other gel cap, though, (B Complex, not B12) is still being negotiated. Thank you all for your input!
  5. Visit  morte profile page
    0
    Ah, Bcomplex makes more sense. that can be obtained in a dry cap that can be opened. I wonder why they are paying extra for the gel cap??
    Quote from onthemark
    The best bet seems to be MrChicagoRN's suggestion of a paper clip that can be cleaned before each use and then discarded. I'm going to try that today! Meanwhile, I'm relieved to report that the head nurse on another shift took the initiative and ordered the liquid colace! The other gel cap, though, (B Complex, not B12) is still being negotiated. Thank you all for your input!
  6. Visit  onthemark profile page
    0
    I tried the paper clip method today for the B Complex gel cap but it was difficult to puncture and then very difficult to squeeze it out from such a small hole. I ended up resorting to the scissors. I will pursue getting the liquid or the dry form suggested above by morte.
  7. Visit  pinkiepieRN profile page
    0
    How about Vitamin D? I've only ever seen it in a gel-cap!

    Some of my patients too are ordered the gel-cap of Colace even though it exists in a crushable tablet form. Apparently this is the doing of the pharmacy for some reason. Is there a pharmacologic difference between the two - gel-cap vs. tablet? I assume there wouldn't be but one can never be too sure!
  8. Visit  morte profile page
    0
    Always follow the money.....I'm thinking it is cheaper to stock only one form, and the crushable maybe more expensive, haven't checked. Vitamin D does come in "dry" form, some feel it is not as well absorbed....but making sure there is sufficient fat in the diet helps. If you are dealing with the little Kelly green caps of vitamin D, that is D2 and is basically useless, you want D3. Good luck.
    Quote from dolcebellaluna
    How about Vitamin D? I've only ever seen it in a gel-cap!

    Some of my patients too are ordered the gel-cap of Colace even though it exists in a crushable tablet form. Apparently this is the doing of the pharmacy for some reason. Is there a pharmacologic difference between the two - gel-cap vs. tablet? I assume there wouldn't be but one can never be too sure!
  9. Visit  amoLucia profile page
    0
    Instead of syringe needles, use glucometer lancets.
  10. Visit  wooh profile page
    2
    I put a blunt needle on a syringe, poke into the gelcap, and suck up the gel into the syringe. I then immediately squirt it into an oral syringe (or whatever the meds are going in for administration) so I don't inadvertently give it IV. Much less messy than squeezing the gel out.
    elprup and KelRN215 like this.
  11. Visit  NurseJoy33 profile page
    0
    I just snip the very tip off with a scissors, and squeeze.
  12. Visit  morte profile page
    1
    I think what all of the posters here need to realize, is that none of these "ways around" the problem are really appropriate. the dosage can not be accurate. Look at the bigger picture, not just the "task". the doc needs to be told to order differently, the pharmacy needs to understand that what they are providing isn't appropriate. Solve the problem instead of working around it. Would you be happy to receive an unknown, inaccurate dose of a med?
    elprup likes this.
  13. Visit  edmia profile page
    2
    Quote from morte
    I think what all of the posters here need to realize, is that none of these "ways around" the problem are really appropriate. the dosage can not be accurate. Look at the bigger picture, not just the "task". the doc needs to be told to order differently, the pharmacy needs to understand that what they are providing isn't appropriate. Solve the problem instead of working around it. Would you be happy to receive an unknown, inaccurate dose of a med?
    I agree morte. This happens a lot to us because patients become npo and need ng tubes but the docs don't adjust the po meds to be tube appropriate. I have colleagues who continue to document po meds as given and do things like cut open gel tabs.

    I look for the doc, ask for a change in orders, and if they don't do this in a timely manner, I don't give the med. I page then to let them know that if they don't change the order, I'll be forced to report their orders as med errors since the administration route is not correct. I get the right formulation and route on my orders without a problem.

    It's not safe to have the wrong formulation ordered. Someone is going to draw up that colace into a syringe and give it IV one day...

    Sent from my iPhone using allnurses.com
    elprup and morte like this.
  14. Visit  KelRN215 profile page
    0
    Quote from dolcebellaluna
    How about Vitamin D? I've only ever seen it in a gel-cap!

    Some of my patients too are ordered the gel-cap of Colace even though it exists in a crushable tablet form. Apparently this is the doing of the pharmacy for some reason. Is there a pharmacologic difference between the two - gel-cap vs. tablet? I assume there wouldn't be but one can never be too sure!
    Vitamin D also comes in liquid formulation. I've given liquid ergocalciferol and cholecalciferol before.


Nursing Jobs in every specialty and state. Visit today and find your dream job.

Top