Published May 9, 2016
GE90
88 Posts
just wondering for pts who are nbm have oral medications?
i rmb someone told me they can't but some said its ok..
roser13, ASN, RN
6,504 Posts
What's nbm? What's rbm?
nlitened
739 Posts
nbm? = nothing by mouth?? Maybe??
The correct abbreviation is NPO...Latin for "nothing by mouth"
Nil per os
Devon Rex, ADN, BSN
556 Posts
For those who are NPO before surgery... usually it's ok to take medications with a little bit of water. However, if they are having GI problems, you would most likely administer them via IV (but you need an order). When in doubt, ask your charge nurse.
I think she means "I remember" when writing "i rmb".
quazar
603 Posts
It depends on the situation. Some docs write the order, "NPO except for meds." Some just write straight up NPO, and if you are unsure, you should call the provider and get it clarified. Some want meds held, some want them given.
I know, clear as mud. Sorry. :/
Tenebrae, BSN, RN
2,010 Posts
nbm? = nothing by mouth?? Maybe??The correct abbreviation is NPO...Latin for "nothing by mouth"
Depends on the country. We use NBM; nil by mouth
sorry folks, i meant NPO (here in oz they call nbm, lol)
so now i assume for pts who do not have gi issues, preop pain relief like nurofen and paracetamol or oral antibiotics are acceptable?
cheers!
sorry folks, i meant NPO (here in oz they call nbm, lol)so now i assume for pts who do not have gi issues, preop pain relief like nurofen and paracetamol or oral antibiotics are acceptable?cheers!
As long as they are tolerated on empty stomachs...
cleback
1,381 Posts
Depends why they're NPO.
If it's ordered after a possible aspiration episode or mental status changes, then I don't give oral meds and and will call the doc to see if they should be switched to IV. If it's before certain GI scans, I usually clarify with radiology. Before stress tests, there are certain cardiac meds to be held. Lately, my facility has been really good about saying which classes of medications need to be held for which tests/procedures, but it wasn't always like that so I am forever vigilant.
TheCommuter, BSN, RN
102 Articles; 27,612 Posts
Moved to the Nursing & Patient Medications forum.