I have a question regarding PRNs. Say a psych patient has an order prn ativan 1 mg PO/IM for severe anxiety. If said pt suddenly became an acute danger to self/others but refused this med PO, could this med be given IM to them (over their objection) due to the emergent situation? What I am getting at is, I know this would be ok if the PRN was written for 'agitation' but what if it was written for 'anxiety' as in the above example? Am I splitting hairs? My gut tells me thatyou would administer the med to protect patient/others in this scrnario, and I'm probably over thinking this, but just wanted opinions.
Quote from anon456
I know nothing about psych nursing, but I am thinking 1mg Ativan won't do much. I give that much to my 7-8 year old patients.
It is the fact that a nurse gives multiple scheduled psychotropics in addition to the 1 mg of Ativan that it is effective.
Last edit by Carrie RN on Feb 5, '14
: Reason: word missing