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Discussion

NEED HELP

First semester student here ,doing my pharmacology assignment, need to make sure that I'm properly reading this drug order

FentaNYL/Bupiv HCL/NS/PF 250 ML EP UD SCH

Administration criteria

Continuous rate - 4 ml/hr

Bolus dose - 3 ml

Bolus lockout - 15/min

The FentaNYL and Bupiv HCL are 2 different drugs right? Combination drugs?

Ns - normal saline

PF-?

EP -?

UD- use as directed?

SCH-?

I cant find the meaning of these abbreviation on Google. Anyone experienced nurses tell me what they are? Anyone have reputable links with a wide range of medical abreviations would be helpful.

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    • Experts

    Fentanyl narcotic/pain killer

    Bupivacaine numbing/pain killer

    NS normal saline

    PF---- I have no idea this is why only approved abbreviations should be used. Many facilities have their own approved abbreviations

    EP I assume it means epidural

    UD I assume use as directed

    SCH scheduled drug AKA controlled substance.

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    Your best bet would be to call the pharmacy at the facility and ask them. You will learn to love pharmacy-- they are always willing to answer any drug-related questions. Never hesitate to ask them anything.

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    • Author

    How will i state the route of administration its an epidural catheter, any medical abbreviations for that ?

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    • Author
    Fentanyl narcotic/pain killer

    Bupivacaine numbing/pain killer

    NS normal saline

    PF---- I have no idea this is why only approved abbreviations should be used. Many facilities have their own approved abbreviations

    EP I assume it means epidural

    UD I assume use as directed

    SCH scheduled drug AKA controlled substance.

    Thank you very much, I'm suppose to put in the frequency for the drug,will i put the administration criteria under the frequency? I'm not sure what the proper dosage of the drug ?

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    • Author
    Your best bet would be to call the pharmacy at the facility and ask them. You will learn to love pharmacy-- they are always willing to answer any drug-related questions. Never hesitate to ask them anything.

    I did call, they were of no help

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    • Experts
    Thank you very much, I'm suppose to put in the frequency for the drug,will i put the administration criteria under the frequency? I'm not sure what the proper dosage of the drug ?
    Sure you do.....
    Administration criteria

    Continuous rate – 4 ml/hr

    Bolus dose - 3 ml

    Bolus lockout – 15/min

    Technically this makes it a continuous infusion at 4ml/hr and your PRN dose is 3ml every 15 mins as needed
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    • Experts
    I did call, they were of no help
    The pharmacy at the facility where you did clinical could not help you? Call the unit you worked and ask one of the nurses.
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    • Author
    The pharmacy at the facility where you did clinical could not help you? Call the unit you worked and ask one of the nurses.

    I may have to contact my school, to find out about the rules when it comes to contacting the hospital when its not a clinical day

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    • Author

    Okay I spoke to someone else at the pharmacy, they said pf may mean preservative free

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    • Author
    Fentanyl narcotic/pain killer

    Bupivacaine numbing/pain killer

    NS normal saline

    PF---- I have no idea this is why only approved abbreviations should be used. Many facilities have their own approved abbreviations

    EP I assume it means epidural

    UD I assume use as directed

    SCH scheduled drug AKA controlled substance.

    I think the EP is the route of adminstration

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    I have to ask... when and where is it ever acceptable to order dosages of narcotics in mL? There is no concentration of the drug given here and therefore no dose.

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    I did call, they were of no help

    I find that hard to believe. You asked them what the abbreviations were on the label they prepared from the prescription, and they didn't know what they meant?

    To chart it, you would indicate as for any other drug: Drug name, route, dose prescribed.

    For example, Wondercaine, 100mg/500cc NS, epidural, 50 mcg/kg/min

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