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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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    • Featured Replies

    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

    Oh, OK, then, so you didn't really call them. No need to fib here, we're friendly, and it's a bad habit even though it's soooo easy to slide into.

    I am sure there are no restrictions on contacting the pharmacy to ask such a question from your school. Honestly.

    I'm starting to wonder if this is a real student question.

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    • Experts

    I think it is real and I'm willing to bet that they copied off of a per-printed order sheet....and did not realize the dosages. OR it is another poorly written question....sigh

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    • Author
    Oh, OK, then, so you didn't really call them. No need to fib here, we're friendly, and it's a bad habit even though it's soooo easy to slide into.

    I am sure there are no restrictions on contacting the pharmacy to ask such a question from your school. Honestly.

    I'm starting to wonder if this is a real student question.

    I did call them, the first lady may have just bee busy or maybe it was miscommunication . This is a real student, what makes you think otherwise?. The information is from a printed kardex sheet my instructor gave to me.

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    • Experts

    call the floor...ask them. Your instructor gave you incomplete information. The orders should contain the amount of each med in the bag of saline that would yield.... x amount /ml. You don't have enough information to figure how much med is being given to the patient as you do not know what amount is in the bag.

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    This is a perfect example of what not to do in a hospital because it's incomplete and ambiguous.

    For example, when I see "UD," I think "Unit Dose," not "Use as Directed,"

    Narcotics are ordered in milligrams (or micrograms in the case of fentanyl) or mg/mcg per hour... it's then up to the pharmacy and the nurse to determine what volume and rate it's to be given in order to attain the ordered dose.

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    • Author

    Additional comment stated on kardex about the medication

    5mcg/ml + BUPIV 1/8%

    FOR EPIDURAL USE ONLY

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    Perhaps this discussion will help you understand better how to read a medication prescription, label, and medication sheet, and to describe it to someone else.

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    • Author

    Question has been answered by instructor

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    • Experts

    what did she say????

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    We will never know.

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    • Experts

    sigh....

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