We got a call from the doctors office on the miralax I sent them.
Nurse: we received a fax from you regarding (patient's) miralax prescription. Isn't miralax glycopyrrolate?
Tech: no, miralax is polyethylene glycol.
Nurse: well, which one are you faxing me about?
Tech: the fax is regarding the dose of miralax
Nurse: well, we can put 3 refills on it.
Tech: we already have refills on it. We were faxing regarding the dose.
Nurse: well that's the dose for the glycopyrrolate.
Tech: I understand that. The prescription was faxed to us for miralax.
Nurse: well, we can put 3 refilled on the glycopyrrolate.
Tech: we already have refills on the glycopyrrolate
Nurse: then why did you fax us?
Tech: you faxed us first.
Nurse: ok, disregard the fax.
Wednesday, August 22, 2012
Tuesday, August 21, 2012
dimensional analysis
I got a prescription faxed to me for miralax 0.2mg/ml give 5ml 4 times daily. The usual way miralax is done is to dissolve a capful in 8 oz of water. After a little dimensional analysis, I found the script was for one capful dissolved in 2833 oz of water, or 85 liters. I wrote my math on the script and sent it back with a note of "is this really what you want?"
Monday, August 13, 2012
Are You Really That Worried?
When I was an intern, a nurse came into the pharmacy satellite and asked which pill in a cup of maybe 12 happened to be the patient's lithium. I dumped them out on the counter, pointed to the lithium and said "it's that one." "Thanks," she said, "now I have to go throw these all away and get new pills." Little did that nurse know, more than one of those tablets may or may not have been on the floor of the pharmacy before being dispensed to her for administration...
Monday, August 6, 2012
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