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Can Cardizem CD Be Crushed? Pharmacist to New Grad Nurses Tip of the day: Question: Can Cardizem CD Be Crushed? Answer: No This was a question a new grad nurse called me about today. Cardizem CD is a controlled delivery medication used to treat angina or hypertension.  Many times, patients are on a long acting medication but become NPO or unable to swallow capsules when admitted.  In this case, do not open Cardizem CD Capsule and crush the pellets.   What to do when patient cannot swallow the capsule? Call the physician for a short acting option which may be crushed but...

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Pharmacist to New Grad Nurses Tip of the day: Question: Can Reglan 20mg be given IV Push? Answer: No Reglan is used to prevent nausea in post-op patients, post chemotherapy, or stimulate GI motility.   Reglan is available in oral form but in cases where patients are too nauseated or NPO, IV Reglan is available. Generally, Reglan doses are 10mg IVP per dose. In this case, Reglan may be given over 2 minutes slowly. However, larger doses may be required. Any dose more than Reglan 10mg IV should be diluted and given as a piggyback. If given too fast, acute...

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Pharmacist to New Grad Nurses Tip of the day: Question: Can patient be on both Coumadin and Lovenox? Answer:  Yes Patients who are admitted for afib or DVT/PE would need prompt anticoagulation.  Coumadin prevents vitamin K production in the liver which is needed to make clotting factors.  The effect of Coumadin is not immediate to achieve an INR of 2-3.  Generally, the goal is to achieve an INR of 2-3 in about 3 to 5 days.  In the meantime, Lovenox may be given to bridge.   Hope this tip is helpful.  Follow our shop for more pharmacist to RN tips! **Share with...

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Hear from Shelly Watson Pharm.D with our tip of the day for new grad nurses. Learn more about the dangers of mixing drugs like zosyn and vancomycin.  This tip of the day has been brought to you by Sizzle City. Learn more at www.SizzleCity.com.

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