AlbertLewis,a52-year-old hospitalized patient, is receiving multiple medications. While in the hospital, Albert receives the following drugs:
* Nitroglycerin tablet sub lingu al prn for chest pain
* N ifedipine Extended Release(ER)orallyevery6 hours
* Mycelex Troch e twice a day
* Clorafan 500mgintravenously(IV)
* Insulin subcutaneous inject tionse very morning
* Garamycin optic solution,2drops to each eye,3timesperday
* Fentanyl transdermal patch every12 hours
1. How would you respond when the patient asks you, Why can t I take all my medications orally?
2. Discuss the advantages and disadvantages of each route for each of the medications listed above.
3. What special precautions should you take with drugs with enteric coating and those that are extended release?