Safe Dosage

Prescriptions which are administered on an as needed, PRN, are dependent upon set _______ such as ____, ___, ___.

PARAMETERS Pain scale Heart Rate Blood Pressure

Time-critical medications appropriate times are permitted between

30 before or after the medication indicates

A charge nurse is reviewing the types of prescriptions with a newly licensed nurse. Which of the following prescriptions should the nurse include as an example of STANDING PRESCRIPTION?

PROTOCOL-BASED -contains directions for administration based upon specific situations, such as the development of a fever. EX: Acetaminophen 650 mg by mouth every 6 hr for temperature greater than 38.4 C

Is this prescription correct? What is wrong with it? "Acetaminophen 325 mg every 6 hr PRN for headache"

It does NOT contain the ROUTE

A Nurse is reviewing a client's prescriptions. The nurse should contact the provider to clarify which of the following prescriptions? A) Phenytoin 100 mg PO every 8 hours B) Morphine 2.5 mg IV bonus PRN for incisional pain C) Regular insulin 7 units subcutaneous 30 min before breakfast/dinner D) Lisinopril 20 mg PO every 12 hr. Hold for systolic BP less than 110 mm HG

Morphine 2.5 mg IV bolus PRN for incisional pain Frequency of medication is needed