TY - JOUR AU - COHEN, MICHAEL R. AB - MEDICA TION ERRORS BY MICHAEL R. COHEN, RPH, DSC, FASHP venting soundalike drug errors: FORMULATION CHANGE Transcribe all verbal orders onto the patient’s chart and read them back to the prescriber. And accept face- The antidiarrheal agent to-face verbal orders only in an Kaopectate has been reformulat- emergency or when the prescriber is ed with bismuth subsalicylate, but the change isn’t readily apparent physically unable to write it. on the label. This could pose a Note: A child younger than 6 risk to someone who shouldn’t weeks should never receive take this compound because of Haemophilus b conjugate vaccine potential adverse reactions (for because it could impair his response example, someone with a salicy- to subsequent doses. Hepatitis B late allergy or a child recovering vaccine, recombinant, is the correct from chicken pox or the flu). The vaccine for newborns. bismuth also can cause darkened or black stools and the patient’s tongue may appear black. PRESCRIPTION FOR SAFETY If your patient takes any medication that contains bismuth (including Pepto- Bismol, Bismatrol, and Pink Bismuth), find out if she has any contraindications. If Take time to teach she can safely take the drug, inform her about potential color changes to TI - Bismuth as usual JF - Nursing2017 DA - 2003-06-01 UR - https://www.deepdyve.com/lp/wolters-kluwer-health/bismuth-as-usual-2ZB7L2ldv5 SP - 20 EP - 20 VL - 33 IS - 6 DP - DeepDyve ER -