Verification of Medication

[EHGWR]

You are preparing to administer the following medication to a client with multiple health problems who has been hospitalized with deep vein thrombosis. Which medication is most important to double check with another nurse and why?

1. Famotidine 20 mg IV

2. Furosemide 40 mg IV

3. Digoxin 0.25 mg by mouth

4. Warfarin 2.5 mg by mouth

This is a question from a discussion of the week we have each week. I am assuming the answer is 2. but only because I have not been over the other information yet! help!

[Jenngirl34RN]

That would not be the one I would pick. Do you have a good drug book? Look up each drug and figure out if any of them are high alert meds and why. That should help you figure out your answer.

[Esme12, ASN, BSN, RN]

We are happy to help....however these can be looked up on Google. Look up each med and you WILL find your answer. Weren't you a pharm tech?

http://www.globalrph.com/pharmacokinetics_section.htm

[EHGWR]

Yes, I was but that wasn't something we learned. I have googled, actually . I'll just keep searching, thanks.

[Esme12, ASN, BSN, RN]

I gave you a link to a good resource. Being a nurse is ALL about looking at information given to you and being able to get to tyhe bottom of what you need.

You are preparing to administer the following medication to a client with multiple health problems who has been hospitalized with deep vein thrombosis. Which medication is most important to double check with another nurse and why?

1. Famotidine 20 mg IV

2. Furosemide 40 mg IV

3. Digoxin 0.25 mg by mouth

4. Warfarin 2.5 mg by mouth

LOOK at your question. What is it asking?

hospitalized with deep vein thrombosis.

Now....

Which medication is most important to double check with another nurse and why

Now you look at each med. Why would you need to check that med? Why is it important?

[smf0903]

Interesting thread...I will be watching to see if the med I'd pick for a double-check is right :)

[dudette10, MSN, RN]

http://www.ismp.org/Tools/highalertmedications.pdf

Which one is on this list in the form given in the question?

Just to add, none of those in your question is required for a nurse double check where I work.

[akulahawkRN, ADN, RN, EMT-P]

Where I'm currently precepting, all of those meds can be (and are) given without a double check... but one of them looks a bit suspicious given the reason for hospitalization.

[Esme12, ASN, BSN, RN]

If you look at the list of high alert meds that dudettte provided two of the meds are there...one has to do with the present hospitalization for sure one may not.

For the resord I ahve never double checked any of these meds with another nurse. I will check labs first but not another nurse.

[nurseprnRN, BSN, RN]

Don't make the assumption that it has to be a policy about double-checking a particular list of medications. Think about that patient, what meds he's taking, the precautions for them, and what kind of errors are often made such that it might be a good idea if you ran it past another nurse EVEN IF there's no policy about it.