Jump to content

Med error?

Pain   (2,924 Views 15 Comments)
by TraumaQueenRN4 TraumaQueenRN4 (New Member) New Member

694 Visitors; 5 Posts

advertisement

You are reading page 2 of Med error?. If you want to start from the beginning Go to First Page.

1 Follower; 712 Visitors; 73 Posts

Are all the details correct? for example, "dilaudid 0.5mg q2 prn for severe pain", "dilaudid acts in about 15 minutes".

According to the Dilaudid dose 0.5 mg and other details you provided, it seems that Dilaudid was given as S/C or IM injection, as oral Dilaudid tablet would take up to 30 minutes to begin to work. However, it only takes about 15 minutes for Dilaudid injection to begin to work.

Obviously injection can potentially cause discomfort to the patient.

As Norco 10 mg is tablet, why don't the doctor give Dilaudid tablet? If Dilaudid is given as tablet, the dose 0.5 mg would be quite lower. The lower Dilaudid dose could be due to kidney disease.

If Dilaudid 0.5 mg is tablet, how to split Dilaudid 2 mg tablet in order to get 0.5 mg?

In Australia, Dilaudid tablet only has three strengths: 2 mg, 4 mg, 8 mg.

Is Dilaudid 0.5 mg oral liquid? As Norco 10 mg is tablet, in other words, the patient can tolerate tablets. Why don't the doctor give Dilaudid tablet?

Norco can be used to treat moderate and slightly severe pain, and Dilaudid can be used to treat severe pain. Meanwhile, Dilaudid with a lower dose can be used to treat moderate pain.

It is not a routine for doctors to write "Moderate pain" or "Severe pain" on medication chart. What I commonly observed is "Indication: pain".

Are all the details you provided correct? If so, is this doctor an experienced practitioner or internship?

Moreover, you didn't provide regular pain medications. You only provided prn pain medications. It is not convenient for others to discuss more in depth.

 

 

 

 

 

 

 

 

 

 

 

Edited by Nursing Au

Share this post


Link to post
Share on other sites

1 Follower; 712 Visitors; 73 Posts

Perhaps Dilaudid 0.5 mg is oral liquid.

 

Share this post


Link to post
Share on other sites
advertisement

Glycerine82 has 3 years experience as a LPN and works as a Licensed Practical Nurse.

1 Article; 25,469 Visitors; 1,973 Posts

If the order is worded "pain greater than 5" etc. I'd say its not an error.  If the order is written for moderate pain give x and for severe pain give z, id say its an error. 

If it were me I'd give the dilaudid for severe pain and 30 minutes later the norco for moderate pain. 

Share this post


Link to post
Share on other sites
  • Recently Browsing 0 members

    No registered users viewing this page.

×