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

by onthemark | 5,371 Views | 25 Comments

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 pure liquid form, I don't... Read More


  1. 1
    When I try the safety pin idea the med doesn't drip out very well. What if I just crush it with all the crushed meds and then pull the hard gel cap remnants out of the crushed medication? That's gotta be accurate enough for government work, rt?

    There was the razor I tried using but when the gel cap slipped I cut my finger and I couldn't tell the colace or b12 from my own blood. Le sigh.

    They need to create a scored gel cap!!

    Ok ok I'll stop trying to be funny...

    Lolol!!
    onthemark likes this.
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    there is NO appropriate way to do it. Inform the doc, see if he will order the appropriate form. Short of that, melting would be the way to go.
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    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.
  4. 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.
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    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.
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    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!
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    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!
  8. 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.
  9. 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!
  10. 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!


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