Was I right for questioning this order?

[Catch22Personified]

One of the patients that was admitted into my unit had well...a strange combination of medications I brought this to the attention of my supervisor and she said: "Ok, put that in your report and let the 7-3 shift call the MD later in the morning to question the order." I'm on night shift so we don't really like calling MD's unless its an emergency or we know they are early risers.

Here were the meds that stuck out to me:

Famitodine 40mg tab, 1 tab BID 6AM and 5PM via G-Tube

Protonix 40mg/(forgot the liquid concentration of it) liquid via G-Tube at 6AM

Omeprazole liquid suspension 40mg. 20ml liquid via G-Tube.

I found it strange the patient got two PPI's and a H2 antagonist. Would this be a case of polypharmacy?

[caliotter3]

Sometimes new meds get prescribed without benefit of knowledge of previous orders, usually when different doctors and or patient contact events are involved. Probably the case here.

[WSU_Ally_RN, BSN, RN]

Were these the pt's home meds?? Or a totally new order? Being liquid G-tube meds to me sounds like it may be the pt's home regime, maybe it's what works for them?? I'd probably look for the home med list first, ask the pt or family if they know, and then ask the MD if I can't get anywhere with the first two solutions.

[Catch22Personified]

Sometimes new meds get prescribed without benefit of knowledge of previous orders, usually when different doctors and or patient contact events are involved. Probably the case here.

That was the case here, the current MD discontinued the pepcid and protonix. I guess the meds just piled up at the hospital.