Nursing - Numbers game
A patient in the ED was supposed to receive Phenergan VC with codeine syrup (promethazine, phenylephrine, and codeine) to take at home to relieve coughing. When a nurse located a bottle of generic promethazine with codeine syrup and a large “C” around a “V” on the label, she mistakenly thought she’d identified promethazine VC with codeine syrup. In fact, this syrup didn’t contain phenylephrine. The C-V symbolizes a Schedule 5 controlled substance, with the Roman numeral V used to indicate 5. A similar case involved LM. phenobarbital administered IN. because C-IV, indicating a Schedule 4 controlled substance, appeared on the label.
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Manufacturers may label controlled substances with Roman or Arabic numerals, so don’t rely on symbols to identify a drug. Make sure a brandname medication has the same ingredients as a generic product before making a substitution.
Copyright Springhouse Corporation Nov 2000
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