Be Aware of When Missed or Late Doses May Lead to Patient Harm

November 2016

When is medication timing critical?

"Time-critical" meds are those that may cause harm if doses aren't given according to their intended schedule. Keep these issues in mind.

Too close together. Anticoagulants given too close together can cause bleeding...but be careful when switching too. For example, delay a heparin drip at least 12 hours after an enoxaparin 1 mg/kg dose.

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Infectious Diseases Use Shorter Antibiotic Courses to Help Limit Resistance
Infectious Diseases Usually Treat VRE Bacteremia With Daptomycin
Critical Care Optimize Other Analgesics and Sedatives in ICU Patients Before Using Ketamine
Med Administration Be Aware of When Missed or Late Doses May Lead to Patient Harm
Needles & Syringes The New U-500 Syringe Will Eliminate the Need for Dose Conversions
Aspirin Restart Aspirin For Secondary CV Prevention Soon After a GI Bleed
Cultural Awareness Ask Transgender Patients Which Name and Pronoun They Prefer
New Drugs Substitute One SL Nitroglycerin Tab for One GoNitro Packet
Pediatrics Use Morphine Over Codeine if an Opioid is Needed to Treat Pediatric Pain
Gastroenterology Use Liquid Antacids Instead of GI Cocktails for Dyspepsia
Supplements Consider Kratom Use if Patients Complain of Opioid-Like Side Effects

Be Aware of When Missed or Late Doses May Lead to Patient Harm

Get unlimited access through an Enterprise license

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