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Discussion

what is fragility?

[h=2]http://www.healthcare.uiowa.edu/pharmacy/rxupdate/2004/04rxu.html

Medications That Should Not Be Crushed Due to Fragility: Mirtazapine (Remeron SolTab®) and olanzapine (Zyprexa Zydis®)[/h]

Not all of these come in rapid dissolve form and sometimes has to be given to pts with g-tube when the rapid dissolve form is not available. So, what is fragility? Or why these should not be crushed? Zyprexa I had to give through gtube was NOT enteric coated, or sustained release.

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    Exactly. Regular remeron and zyprexa are ok to crush; but not these forms.

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    Glad you are checking your meds before you give as the form does matter. Just because it can be crushed does not mean it should be crushed. Had a nurse giving metformin thru g-tube even tho we have list of do-not-crush in med room. Her defense was the pt was diabetic and it was give it or let her BS go up. NO!! Call MD for another med. duh

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    THANK YOU!

    Glad you are checking your meds before you give as the form does matter. Just because it can be crushed does not mean it should be crushed. Had a nurse giving metformin thru g-tube even tho we have list of do-not-crush in med room. Her defense was the pt was diabetic and it was give it or let her BS go up. NO!! Call MD for another med. duh
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