Yes, be sure you know the peak times of each med as well as the route. I would definately start with the smaller dose first and move my way up the chain. And assess assess, assesss. I know being on a busy med surge floor sometimes that is hard to do. And most times you don't know the pts well enough. Explain the med to the pts, the effects of the meds and make sure they understand to ask for help when when getting up. And the 2nd thing is to chart, chart, chart. So you can COVER YOUR BUTT. If you EVER have questions or are in doubt contact your supervisor, pharmacist, or better yet the doc.