probably a very basic med question..... - page 3

by onthemark 4,811 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. 0
    Instead of syringe needles, use glucometer lancets.
  2. 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.
  3. 0
    I just snip the very tip off with a scissors, and squeeze.
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    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.
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    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.
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    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.


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