Always the best answer of course was gonna ask our clinical nurse specialist next time I work to..just found it interesting that over half the other people I talked had done that..the other half said...
Ok we had a little debate going on at work ..a doctors order was given for Dilaudid 1-2mg every 6 hours...so the nurse gave 1mg every 3 hours so as to give the drug more often but not exceed the max...