ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations Flashcards
Question: Why should you avoid using “U” for “unit”?
Answer: “U” can be mistaken for “0,” “4,” or “cc,” leading to serious dosage errors. For example, “10U” might be misread as “100” or “40.” Instead, always write “unit.”
Visual Example:
An image showing:
Incorrect: “10U” (interpreted as “100” or “40”).
Correct: “10 units” (clear and unambiguous).
Question: Why should “IU” not be used?
Answer: “IU” can be confused with “IV” (intravenous) or the number “10.” This may result in administering the wrong type or amount of medication. Always write “international unit” instead.
Visual Example:
A comparison:
Incorrect: “IU” misread as “IV” or “10.”
Correct: “International unit” clearly written out.
Question: Why should “QD” (daily) and “QOD” (every other day) not be used?
Answer: These abbreviations are often mistaken for each other. For example, the “Q” in “QD” can look like an “I,” and “QOD” might be misread as “QID” (four times a day). Instead, write “daily” or “every other day.”
Visual Example:
An image showing:
Incorrect: “QOD” being read as “QID.”
Correct: “Every other day” or “daily.”
Question: Why are trailing and leading zeros problematic?
Answer: A trailing zero (e.g., “1.0 mg”) might be read as “10 mg” if the decimal is missed. Similarly, a lack of a leading zero (e.g., “.5 mg”) might be read as “5 mg.” To avoid errors, write “1 mg” and “0.5 mg.”
Visual Example:
A side-by-side comparison:
Incorrect: “1.0 mg” (misread as “10 mg”), “.5 mg” (misread as “5 mg”).
Correct: “1 mg,” “0.5 mg.”
Question: Why shouldn’t you use “MS,” “MSO₄,” or “MgSO₄”?
Answer: These abbreviations can mean either morphine sulfate or magnesium sulfate, leading to confusion and potentially dangerous errors. Always write the full name, like “morphine sulfate” or “magnesium sulfate.”
Visual Example:
A table:
Incorrect: “MS,” “MSO₄,” “MgSO₄” (ambiguous).
Correct: “Morphine sulfate,” “Magnesium sulfate.”
Question: Why shouldn’t we write “U” for “unit”?
Answer: Imagine someone thinking the “U” is a “0” or a “4.” That could turn “10U” into “100” or “40,” which would be a big mistake! Writing “unit” instead keeps things safe and easy to understand.
Visual Example:
Think of it like saying, “Bring me 10 apples,” instead of writing “10A.” If “A” looks like “40,” someone might bring too many apples!
Question: Why is “IU” confusing?
Answer: It might look like “IV” (medicine given through a vein) or the number “10.” That’s a big difference, right? So, it’s better to write “international unit” to make it clear.
Visual Example:
It’s like saying, “Please bring ice cream!” instead of writing “IC.” What if someone reads it as “IV” and brings an ivy plant instead of a treat?
Question: Why are “QD” and “QOD” tricky?
Answer: These abbreviations can look like other ones. “QD” (daily) might look like “QID” (four times a day), and “QOD” (every other day) could be misunderstood, too. Writing “daily” or “every other day” makes everything simple.
Visual Example:
Imagine writing, “Go to bed at QD,” and someone thinks you mean “four naps a day!” Instead, say, “Go to bed daily,” and there’s no confusion.
Question: Why are decimals like little troublemakers?
Answer: If you write “1.0 mg,” someone might miss the dot and think it’s “10 mg.” Or, if you write “.5 mg” without a zero, it might look like “5 mg.” Writing “1 mg” or “0.5 mg” makes sure no one gets confused.
Visual Example:
It’s like drawing tiny polka dots on a shirt—if they’re too small, someone might think the shirt is plain. Add a zero (like adding a frame), and it’s clear to everyone!
Question: Why shouldn’t we write “MS” for medicine names?
Answer: “MS” could mean two completely different medicines—morphine sulfate or magnesium sulfate. Writing the full name tells everyone exactly what you mean, no guessing.
Visual Example:
It’s like calling two of your friends “Sam.” When you shout “Sam!” at the park, both of them show up. But if you say, “Sam the tall one” or “Sam with glasses,” everyone knows who you mean.
Question: Why do we need to be so careful about these rules?
Answer: Because every little word and number can protect someone’s health! When we write clearly, no one has to guess, and patients get the right care. Isn’t it amazing how something so simple can make such a big difference?
Visual Example:
It’s like leaving a trail of bright breadcrumbs in the woods. If the path is clear, everyone can follow it safely without getting lost.
Question: Why is “µg” a problematic abbreviation for microgram?
Answer: “µg” can easily be mistaken for “mg” (milligram), leading to a thousandfold dosing error. Instead, write “mcg” to avoid confusion.
Visual Example:
An image showing:
Incorrect: “500 µg” mistaken as “500 mg.”
Correct: “500 mcg” clearly written out.
Question: Why shouldn’t we use “AD,” “AS,” or “AU” for instructions involving ears?
Answer: These abbreviations for “right ear,” “left ear,” and “each ear” can be mistaken for “OD,” “OS,” or “OU,” which refer to eyes. Instead, write “right ear,” “left ear,” or “each ear.”
Visual Example:
A side-by-side example:
Incorrect: “AD” misread as “OD.”
Correct: “Right ear.”
Question: What’s the problem with using “OD,” “OS,” or “OU” for eye instructions?
Answer: These abbreviations for “right eye,” “left eye,” and “each eye” can be mistaken for “AD,” “AS,” or “AU” (ear instructions). Write “right eye,” “left eye,” or “each eye” instead.
Visual Example:
An image comparing:
Incorrect: “OD” misread as “AD.”
Correct: “Right eye.”
Question: Why shouldn’t we use “BT” for bedtime?
Answer: “BT” could be misread as “BID,” which means “twice daily.” To avoid this, simply write “bedtime.”
Visual Example:
A comparison showing:
Incorrect: “Take medication at BT” misread as “Take BID.”
Correct: “Take medication at bedtime.”
Question: Why is “Cc” not recommended for cubic centimeters?
Answer: “Cc” can be misinterpreted as “u” (units), leading to dosing errors. Write “mL” instead, as it’s universally recognized.
Visual Example:
An example showing:
Incorrect: “5 Cc” misread as “5 units.”
Correct: “5 mL.”
Question: Why should “D/C” be avoided for discharge or discontinue?
Answer: “D/C” can be misinterpreted as “discontinue” when it’s meant to indicate “discharge,” leading to premature discontinuation of medications. Write out “discharge” or “discontinue” clearly.
Visual Example:
A side-by-side example:
Incorrect: “D/C medication” interpreted as “discontinue.”
Correct: “Discharge medication” or “Discontinue medication.”
Question: What’s the issue with using “IJ” for injection?
Answer: “IJ” might be mistaken for “IV” (intravenous) or “intrajugular.” To ensure clarity, always write “injection.”
Visual Example:
An example showing:
Incorrect: “Administer by IJ” interpreted as “IV.”
Correct: “Administer by injection.”
Question: Why is “µg” not a good way to write microgram?
Answer: Imagine someone thinking “µg” is “mg” (milligram). That would be a thousand times too much medicine—yikes! Writing “mcg” instead makes it super clear and safe.
Visual Example:
It’s like asking for 1 grain of sand but someone gives you 1 whole bucket because they couldn’t tell what you meant. Writing “mcg” is like pointing to the exact grain you need.
Question: Why shouldn’t we write “AD,” “AS,” or “AU” for ear instructions?
Answer: These short forms mean “right ear,” “left ear,” and “each ear,” but they can look like “OD,” “OS,” or “OU,” which are for eyes. Imagine putting ear drops in your eye—ouch! Writing “right ear” or “left ear” makes everything clear.
Visual Example:
It’s like labeling two bottles “R” and “L” but forgetting to say if it’s for your hands or feet. Better to just write “right ear” or “left ear.”
Question: What’s tricky about using “OD,” “OS,” or “OU” for eyes?
Answer: These mean “right eye,” “left eye,” and “each eye,” but someone might think they’re for ears instead. Writing “right eye” or “left eye” means no one gets mixed up.
Visual Example:
It’s like saying, “Use this for OD” but someone thinks you mean a different part of your body. Writing “right eye” is like putting a big, clear label on it.
Question: Why shouldn’t we write “BT” for bedtime?
Answer: “BT” can be misread as “BID,” which means “twice a day.” That could lead to someone taking too much medicine! Writing “bedtime” makes sure no one gets confused.
Visual Example:
It’s like saying, “Take this at BT,” and someone thinks you mean “breakfast time” instead of bedtime. Writing “bedtime” clears up the mystery.
Question: Why is “Cc” not a good idea for cubic centimeters?
Answer: “Cc” might look like “u” for “units,” and that could lead to a big mistake in the dose. Writing “mL” (milliliters) instead is super clear and easy to understand.
Visual Example:
Imagine writing “Give 5 Cc,” and someone thinks it’s “5 units” of something else. Writing “5 mL” is like pointing to the exact cup size you need.
Question: Why is “D/C” confusing?
Answer: “D/C” could mean “discharge” (sending someone home) or “discontinue” (stopping medicine). If someone guesses wrong, they might stop the medicine too early. Writing “discharge” or “discontinue” makes sure no one has to guess.
Visual Example:
It’s like writing “D/C your chores,” and someone thinks it means “stop doing chores forever” instead of “take a break after finishing.” Writing it clearly avoids all the confusion.
Question: Why isn’t “IJ” good for injection?
Answer: “IJ” could be mistaken for “IV” (medicine through a vein) or “intrajugular” (near the neck). Writing “injection” tells people exactly what to do without any mix-ups.
Visual Example:
It’s like saying, “Use this for IJ,” but someone thinks you mean a completely different part of the body. Writing “injection” is like drawing a big arrow to the right spot.
Question: Why do we need to be so careful with abbreviations?
Answer: Because every little word can make a big difference in keeping people safe. Writing clearly means no one has to guess, and patients get the exact care they need. Isn’t it amazing how much clarity can help?
Visual Example:
It’s like drawing a treasure map with clear directions. If the map is messy, someone might dig in the wrong spot. But if it’s clear, they find the treasure every time!
Question: What’s the problem with using “IN” for intranasal?
Answer: “IN” could be mistaken for “IM” (intramuscular) or “IV” (intravenous), which are completely different routes. Writing “intranasal” or “NAS” ensures clarity.
Visual Example:
An image showing:
Incorrect: “Administer IN” being misread as “IV.”
Correct: “Administer intranasal.”
Question: Why shouldn’t we use “HS” or “hs” for bedtime or half-strength?
Ans
Answer: “HS” could mean “half-strength” or “at bedtime,” causing dangerous misinterpretation. Writing “half-strength” or “bedtime” eliminates the confusion.
Visual Example:
A side-by-side example:
Incorrect: “Take 2 HS” (ambiguous).
Correct: “Take 2 at bedtime” or “Take 2 half-strength.”
Question: What’s risky about using “IU” for international unit?
Answer: “IU” can be misinterpreted as “IV” (intravenous) or the number “10.” Writing “units” instead avoids dangerous mistakes.
Visual Example:
An image comparing:
Incorrect: “5 IU” misread as “5 IV.”
Correct: “5 units.”
Question: Why is “o.d.” or “OD” not safe to use?
Answer: “o.d.” (once daily) might be mistaken for “OD” (right eye), which could lead to oral medications being administered in the eye. Write “daily” instead.
Visual Example:
A chart showing:
Incorrect: “Take o.d.” (misread as “use in right eye”).
Correct: “Take daily.”
Question: What’s wrong with using “OJ” for orange juice?
Answer: “OJ” might be read as “OD” (right eye) or “OS” (left eye). If a drug meant to be diluted in orange juice is given in the eye, it could cause harm. Write “orange juice” instead.
Visual Example:
An image showing:
Incorrect: “Dilute in OJ” (misread as “dilute in OD”).
Correct: “Dilute in orange juice.”
Question: Why is “Per os” not a good abbreviation?
Answer: “Per os” (by mouth) might be misread as “OS” (left eye). Writing “PO,” “by mouth,” or “orally” ensures the message is clear.
Visual Example:
An example showing:
Incorrect: “Take Per os” misread as “Take OS.”
Correct: “Take by mouth.”
Question: Why shouldn’t we use “q.d.” or “QD” for daily?
Answer: These abbreviations can look like “q.i.d.” (four times daily) if written poorly. Writing “daily” removes any guesswork.
Visual Example:
A chart comparing:
Incorrect: “q.d.” being read as “q.i.d.”
Correct: “daily.”
Question: What’s the issue with using “qhs” for nightly at bedtime?
Answer: “qhs” might be misinterpreted as “qhr” (every hour). Writing “nightly” or “at bedtime” avoids this confusion.
Visual Example:
A table showing:
Incorrect: “Take qhs” misread as “Take every hour.”
Correct: “Take nightly.”
Question: What’s confusing about using “q.o.d.” or “QOD” for every other day?
Answer: These could be misread as “q.d.” (daily) or “q.i.d.” (four times daily), especially with poor handwriting. Writing “every other day” ensures clarity.
Visual Example:
An example comparing:
Incorrect: “Take QOD” misread as “Take daily.”
Correct: “Take every other day.”
Question: What’s unclear about “q6PM”?
Answer: “q6PM” (every evening at 6 PM) might look like “every 6 hours.” Writing “daily at 6 PM” or “6 PM daily” makes it clear.
Visual Example:
A side-by-side chart showing:
Incorrect: “Take q6PM” misread as “Take every 6 hours.”
Correct: “Take daily at 6 PM.”
Question: Why shouldn’t we use “IN” for intranasal?
Answer: “IN” might look like “IM” (medicine in the muscle) or “IV” (medicine in the vein). That’s so different! Writing “intranasal” or “NAS” tells everyone exactly where the medicine should go.
Visual Example:
It’s like saying, “Go to the living room,” but someone hears “kitchen.” Writing “intranasal” is like giving a clear map to the right place.
Question: Why is “HS” a bad idea for bedtime or half-strength?
Answer: “HS” could mean “bedtime” or “half-strength,” which is super confusing! Writing out “bedtime” or “half-strength” makes everything clear.
Visual Example:
Imagine saying, “Do this at HS,” and someone thinks you mean “half-speed” instead of “go to bed.” Writing it out solves the puzzle!
Question: What’s wrong with “IU” for international unit?
Answer: “IU” might look like “IV” (medicine through a vein) or “10.” That could cause a huge mistake! Writing “units” instead is much clearer.
Visual Example:
It’s like asking for “2 scoops of ice cream” but someone gives you 10 because they misread your note. Writing “units” is like showing them the perfect-sized scoop.
Question: Why is “o.d.” or “OD” confusing?
Answer: “o.d.” means “once daily,” but it can look like “OD” (right eye). Imagine putting a pill in your eye by mistake! Writing “daily” keeps things simple.
Visual Example:
It’s like saying, “Add sugar to your tea,” but someone thinks you mean “sprinkle it on your toast.” Writing “daily” is like labeling everything the right way.
Question: Why shouldn’t we write “OJ” for orange juice?
Answer: “OJ” might look like “OD” (right eye) or “OS” (left eye). That could make someone put orange juice in their eye—ouch! Writing “orange juice” avoids any mix-ups.
Visual Example:
It’s like labeling a jar “OJ,” and someone pours it into a flowerpot instead of their glass. Writing “orange juice” is like adding a picture of a glass next to the label.
Question: Why isn’t “Per os” a good abbreviation?
Answer: “Per os” means “by mouth,” but it might look like “OS” (left eye). Writing “PO,” “by mouth,” or “orally” makes it clear for everyone.
Visual Example:
Imagine saying, “Take this through Per os,” and someone points to their eye instead of their mouth. Writing “by mouth” is like drawing a big arrow pointing to where it goes.
Question: Why shouldn’t we write “q.d.” or “QD” for daily?
Answer: These abbreviations might look like “q.i.d.” (four times a day) if the writing isn’t clear. Writing “daily” makes sure there’s no guessing.
Visual Example:
It’s like writing, “Water the plants q.d.,” and someone waters them four times a day instead of once. Writing “daily” is like marking one clear day on a calendar.
Question: What’s tricky about “qhs” for bedtime?
Answer: “qhs” might look like “qhr,” which means “every hour.” Writing “nightly” or “at bedtime” tells people exactly what to do.
Visual Example:
It’s like saying, “Feed the pet qhs,” and someone keeps feeding it every hour. Writing “nightly” is like putting a clock with one bedtime on it.
Question: Why isn’t “q.o.d.” or “QOD” a good abbreviation?
Answer: These could be misread as “daily” or “four times a day.” Writing “every other day” is much clearer.
Visual Example:
Imagine writing, “Take medicine QOD,” and someone takes it every day. Writing “every other day” is like setting a reminder for the right days only.
Question: What’s the problem with “q6PM”?
Answer: “q6PM” might look like “every 6 hours” instead of “at 6 PM daily.” Writing “daily at 6 PM” avoids confusion.
Visual Example:
It’s like saying, “Arrive q6PM,” and someone shows up every 6 hours instead of once. Writing “daily at 6 PM” is like circling just one time on the clock.
Question: Why is it important to write everything clearly?
Answer: Because every word and number can make a big difference in keeping people safe! When things are written clearly, no one has to guess, and everyone gets the right care.
Visual Example:
It’s like making a treasure map with bright, clear arrows. If the arrows are messy, people might dig in the wrong place. Clear writing points exactly to the treasure—safety and health!
Question: What’s the issue with using “SC,” “SQ,” or “sub q” for subcutaneous?
Answer: These abbreviations can be misread as “SL” (sublingual) or “5 every,” and “sub q” might be misunderstood as “every 2 hours.” Writing “subcut” or “subcutaneously” avoids these mistakes.
Visual Example:
A side-by-side example:
Incorrect: “Administer SC” (misread as “Administer SL”).
Correct: “Administer subcutaneously.”
Question: What’s confusing about “ss” for sliding scale or ½?
Answer: “ss” might look like “55,” leading to dosage errors. Writing “sliding scale” or “½” clearly removes confusion.
Visual Example:
An image showing:
Incorrect: “ss insulin” interpreted as “55 insulin.”
Correct: “Sliding scale insulin” or “½.”
Question: Why shouldn’t we use “SSRI” or “SSI” for sliding scale insulin?
Answer: These abbreviations can be mistaken for “selective serotonin reuptake inhibitor” or “strong solution of iodine,” which are entirely different. Writing “sliding scale insulin” ensures clarity.
Visual Example:
A chart comparing:
Incorrect: “SSRI” interpreted as “antidepressant.”
Correct: “Sliding scale insulin.”
Question: Why is “i/d” unsafe for once daily?
Answer: “i/d” might be misread as “tid” (three times daily). Writing “1 daily” ensures no one takes more than they should.
Visual Example:
An example showing:
Incorrect: “Take i/d” misread as “Take tid.”
Correct: “Take 1 daily.”
Question: What’s the issue with using “TIW” for three times a week?
Answer: “TIW” could mean “3 times a day” or “twice in a week,” depending on how it’s interpreted. Writing “3 times weekly” eliminates the guesswork.
Visual Example:
A side-by-side comparison:
Incorrect: “Take TIW” misread as “Take 3 times daily.”
Correct: “Take 3 times weekly.”
Question: Why is “U” or “u” risky for unit?
Answer: “U” might look like “0” or “4,” leading to a 10-fold overdose (e.g., “4U” mistaken as “40”). Writing “unit” avoids dangerous dosing errors.
Visual Example:
An example showing:
Incorrect: “4U insulin” misread as “40 insulin.”
Correct: “4 units.”
Question: Why isn’t “UD” a good abbreviation for “as directed”?
Answer: “UD” might be mistaken as “unit dose,” leading to incorrect administration of a full dose when only part was intended. Writing “as directed” provides clarity.
Visual Example:
A chart showing:
Incorrect: “Administer UD” interpreted as “Administer full unit dose.”
Correct: “Administer as directed.”
Question: Why is it important to write these abbreviations clearly?
Answer: Small changes like writing “unit” or “3 times weekly” prevent dangerous errors and make sure instructions are understood. Clear writing keeps everyone safe and healthy.
Visual Example:
An image of a “before” and “after” note:
Before: “Administer SC” (ambiguous).
After: “Administer subcutaneously” (clear).
Question: Why shouldn’t we write “SC” or “SQ” for subcutaneous?
Answer: “SC” might look like “SL” (sublingual, meaning under the tongue), and “SQ” could mean “5 every” or even “every 2 hours.” Isn’t that wild? Writing “subcut” or “subcutaneously” makes sure everyone knows exactly what to do.
Visual Example:
It’s like saying, “Meet me at the park,” but someone thinks you mean the library. Writing “subcutaneously” is like drawing a map to the right place.
Question: What’s tricky about using “ss” for sliding scale or ½?
Answer: “ss” might look like “55,” which could lead to giving way too much insulin! Writing “sliding scale” or “½” makes the meaning clear.
Visual Example:
It’s like saying, “Add ss sugar to the recipe,” and someone thinks you mean 55 spoonfuls. Writing “½” or “sliding scale” is like measuring out the perfect amount.
Question: Why shouldn’t we use “SSRI” or “SSI” for sliding scale insulin?
Answer: These could be mistaken for something else, like “selective serotonin reuptake inhibitor” (a type of antidepressant) or “strong solution of iodine.” Writing “sliding scale insulin” keeps things simple and safe.
Visual Example:
It’s like labeling a jar “SS” and someone thinks it’s salt instead of sugar. Writing “sliding scale insulin” is like adding a picture of what’s inside.
Question: What’s wrong with “i/d” for once daily?
Answer: “i/d” might look like “tid” (three times daily), which could cause someone to take too much! Writing “1 daily” avoids this mistake.
Visual Example:
Imagine saying, “Water the plants i/d,” and someone waters them three times a day instead of once. Writing “1 daily” is like setting the perfect reminder on your phone.
Question: What’s tricky about “TIW” for three times a week?
Answer: “TIW” could mean “three times a day” or even “twice in a week,” depending on how someone reads it. Writing “3 times weekly” clears up all the guessing.
Visual Example:
It’s like saying, “Exercise TIW,” and someone works out three times a day instead of just three times a week. Writing “3 times weekly” is like highlighting the right days on a calendar.
Question: Why is “U” or “u” a bad idea for unit?
Answer: “U” might look like “0” or “4,” leading to a huge overdose. For example, “4U” could be misread as “40.” Writing “unit” keeps everyone safe.
Visual Example:
It’s like saying, “Add 4U flour,” and someone reads it as “40 cups.” Writing “unit” is like putting the exact measuring spoon in the recipe.
Question: Why shouldn’t we use “UD” for “as directed”?
Answer: “UD” could mean “unit dose,” which might lead someone to give the entire dose all at once instead of spreading it out. Writing “as directed” solves the problem.
Visual Example:
It’s like saying, “Eat UD snacks,” and someone finishes the whole jar instead of having just one serving. Writing “as directed” is like putting a note: “Take one snack at a time.”
Question: Why is it so important to write these abbreviations clearly?
Answer: Because even small changes can save lives! Writing clearly means no one has to guess, and everyone knows exactly what to do. Isn’t it amazing how much power words have?
Visual Example:
It’s like building a treasure map. If the directions are messy, people might dig in the wrong spot. Clear writing is like adding bright arrows pointing right to the treasure.
Question: What’s the issue with trailing zeros after a decimal point (e.g., “1.0 mg”)?
A
Answer: A trailing zero might be missed, causing “1.0 mg” to be misread as “10 mg.” This can lead to a dangerous overdose. Instead, write “1 mg” for whole numbers.
Visual Example:
A side-by-side comparison:
Incorrect: “1.0 mg” misread as “10 mg.”
Correct: “1 mg.”
Question: Why should we use a leading zero for decimal doses (e.g., “0.5 mg”)?
Answer: Without a leading zero, “.5 mg” could be misread as “5 mg,” causing a tenfold overdose. Writing “0.5 mg” makes it clear.
Visual Example:
A chart showing:
Incorrect: “.5 mg” misread as “5 mg.”
Correct: “0.5 mg.”
Question: What’s wrong with adding a period after abbreviations like “mg.” or “mL.”?
Answer: A period could be mistaken for the number “1,” leading to errors. Writing “mg” or “mL” without a terminal period avoids confusion.
Visual Example:
An image comparing:
Incorrect: “mg.” misread as “mg1.”
Correct: “mg.”
Question: What’s the problem with writing drug names and doses together (e.g., “Inderal40 mg”)?
Answer: When written together, they might be misread (e.g., “Inderal40 mg” could look like “Inderal 140 mg”). Always add a space between the drug name, dose, and unit.
Visual Example:
A comparison:
Incorrect: “Tegretol300 mg” misread as “Tegretol 1300 mg.”
Correct: “Tegretol 300 mg.”
Question: Why should we add space between numerical doses and their units (e.g., “10mg”)?
Answer: When numbers and units run together, the “m” can be mistaken for zeros, risking overdoses (e.g., “10mg” read as “100 mg”). Writing “10 mg” avoids this error.
Visual Example:
A side-by-side comparison:
Incorrect: “10mg” misread as “100 mg.”
Correct: “10 mg.”
Question: What’s wrong with large numbers written without commas (e.g., “1000000 units”)?
Answer: Without commas, large numbers might be misread (e.g., “1000000” could be seen as “10,000” or “100,000”). Use commas or write numbers in words like “1 million” for clarity.
Visual Example:
A comparison:
Incorrect: “1000000 units” misread as “100,000 units.”
Correct: “1,000,000 units” or “1 million units.”
Question: Why is it important to follow these guidelines for writing doses?
Answer: Small errors like missed zeros or unclear abbreviations can lead to overdoses or wrong doses, putting patients at risk. Writing clearly ensures safety and prevents confusion.
Visual Example:
An image of a corrected prescription:
Before: “Inderal40mg.”
After: “Inderal 40 mg.”
Question: Why can’t we write “1.0 mg”?
Answer: Imagine someone misses the tiny dot—“1.0 mg” could look like “10 mg.” That’s 10 times the medicine! Writing “1 mg” instead keeps everything safe and easy to read.
Visual Example:
It’s like saying, “Take 1 scoop of ice cream,” but someone reads it as 10 scoops. Writing “1 mg” is like showing a single scoop on the menu.
Question: Why do we need a zero before a decimal, like “0.5 mg”?
Answer: Without the zero, “.5 mg” might look like “5 mg,” which is way too much! Adding the zero makes it super clear—“0.5 mg” means half, not five.
Visual Example:
It’s like drawing a big frame around a tiny picture. Without the frame, the picture might look huge!
Question: What’s wrong with putting a period after “mg” or “mL”?
Answer: A period might be mistaken for the number “1,” so “mg.” could look like “mg1.” Writing “mg” or “mL” without a period keeps things clean and clear.
Visual Example:
It’s like writing, “Bring me 2 apples.” If you accidentally add a dot, someone might think you mean “21 apples!”
Question: Why is it important to add space between the drug name and the dose?
Answer: Without space, “Inderal40 mg” might look like “Inderal 140 mg.” Adding a space—“Inderal 40 mg”—makes it crystal clear.
Visual Example:
It’s like putting a big gap between cars in a parking lot so no one gets squished.
Question: Why can’t numbers and units stick together, like “10mg”?
Answer: When they’re squished together, the “m” might look like extra zeros. “10mg” could be read as “100 mg.” Writing “10 mg” with space is much safer!
Visual Example:
It’s like writing, “Bake 10cookies,” and someone thinks you mean 100 cookies! Adding space clears it up.
Question: Why should we add commas to big numbers, like “1,000,000”?
Answer: Without commas, “1000000” could look like “10,000” or “100,000.” Writing “1,000,000” or using words like “1 million” makes it easy to read.
Visual Example:
It’s like saying, “Bring 1000000 balloons,” and someone brings 10,000. Writing “1 million balloons” ensures the party is perfect!
Question: Why is it so important to write these things clearly?
Answer: Every word and number matters in medicine. A small mistake, like missing a zero or squishing words together, could hurt someone. Writing clearly helps keep everyone safe and healthy!
Visual Example:
It’s like building a LEGO castle—if the instructions are messy, you might end up with a tower that falls over. Clear writing makes sure everything fits perfectly.
Question: What’s wrong with using “APAP” for acetaminophen?
Answer: “APAP” might not be recognized as acetaminophen, leading to confusion and errors. Writing the full drug name, “acetaminophen,” ensures clarity.
Visual Example:
An image comparing:
Incorrect: “APAP 500 mg” (not recognized).
Correct: “Acetaminophen 500 mg” (clear and accurate).
Question: What’s the issue with using “ARA A” for vidarabine?
Answer: “ARA A” could be mistaken for “cytarabine (ARA C),” which is a completely different medication. Writing “vidarabine” avoids confusion.
Visual Example:
A chart showing:
Incorrect: “ARA A” misread as “ARA C.”
Correct: “Vidarabine.”
Question: Why is “AZT” a risky abbreviation for zidovudine?
Answer: “AZT” might be confused with other drugs like “azathioprine” or “aztreonam.” Writing “zidovudine (Retrovir)” ensures the correct drug is identified.
Visual Example:
An image showing:
Incorrect: “AZT 300 mg” misread as “aztreonam.”
Correct: “Zidovudine 300 mg.”
Question: What’s the problem with using “CPZ” for prochlorperazine?
Answer: “CPZ” could be mistaken for “chlorpromazine,” which is a different medication. Writing “prochlorperazine (Compazine)” makes the drug name clear.
Visual Example:
A side-by-side comparison:
Incorrect: “CPZ 10 mg” interpreted as “chlorpromazine.”
Correct: “Prochlorperazine 10 mg.”
Question: Why shouldn’t we use “DPT” for Demerol-Phenergan-Thorazine?
Answer: “DPT” could be mistaken for the “diphtheria-pertussis-tetanus” vaccine. Writing the complete drug name avoids dangerous mix-ups.
Visual Example:
An example comparing:
Incorrect: “DPT” misread as the vaccine name.
Correct: “Demerol-Phenergan-Thorazine.”
Question: Why is it important to avoid abbreviating drug names?
Answer: Abbreviations can be confused with other medications or not recognized at all, leading to serious errors. Writing the full drug name ensures patient safety and proper care.
Visual Example:
A corrected prescription:
Before: “APAP 500 mg.”
After: “Acetaminophen 500 mg.”
Question: Why isn’t “APAP” a good idea for acetaminophen?
Answer: “APAP” might not be recognized as acetaminophen, and that could confuse someone! Writing the full name, “acetaminophen,” makes sure everyone knows what medicine it is.
Visual Example:
It’s like labeling a jar “Yummy Treats” instead of “Chocolate Chip Cookies.” Writing “acetaminophen” is like showing exactly what’s inside.
Question: What’s the problem with using “ARA A” for vidarabine?
Answer: “ARA A” could be confused with “ARA C,” which is cytarabine—a totally different drug! Writing “vidarabine” keeps the instructions clear.
Visual Example:
It’s like calling two cousins “A” and “A” at a family party. How will anyone know who’s who? Writing “vidarabine” is like giving each cousin their full name tag.
Question: Why shouldn’t we use “AZT” for zidovudine?
Answer: “AZT” could be mixed up with other drugs like “azathioprine” or “aztreonam.” Writing “zidovudine (Retrovir)” makes it clear which medicine is needed.
Visual Example:
It’s like saying, “Bring me AZT,” and someone grabs the wrong book because it sounds like another title. Writing “zidovudine” is like holding up the exact cover of the book you need.
Question: Why can’t we write “CPZ” for prochlorperazine?
Answer: “CPZ” might be mistaken for “chlorpromazine,” which is a completely different drug. Writing “prochlorperazine (Compazine)” keeps everyone safe.
Visual Example:
It’s like saying, “Get me CPZ from the closet,” and someone brings the wrong coat. Writing “prochlorperazine” is like pointing directly to the coat you need.
Question: What’s wrong with using “DPT” for Demerol-Phenergan-Thorazine?
Answer: “DPT” might look like the “diphtheria-pertussis-tetanus” vaccine, which is completely different! Writing the full name ensures there’s no confusion.
Visual Example:
It’s like labeling a recipe “DPT” and someone thinks it’s for pancakes instead of pasta. Writing “Demerol-Phenergan-Thorazine” is like giving the recipe a clear title.
Question: Why is it important to write the whole name of a drug?
Answer: Abbreviations can confuse people or be misunderstood as different medicines. Writing the full name helps everyone understand exactly what’s needed and keeps patients safe.
Visual Example:
It’s like leaving a treasure map with smudged directions—people might dig in the wrong spot. Writing full names is like drawing a bright, clear path to the treasure.
Question: What’s the problem with abbreviating “DTO” for diluted tincture of opium?
Answer: “DTO” might be mistaken for “tincture of opium,” which is a stronger drug. Writing the full name ensures the correct medicine is used.
Visual Example:
An image showing:
Incorrect: “DTO” mistaken as “tincture of opium.”
Correct: “Diluted tincture of opium.”
Question: Why is “HCl” a risky abbreviation?
Answer: “HCl” could be misread as “potassium chloride” because the “H” might be mistaken for a “K.” Writing the full drug name avoids confusion.
Visual Example:
A comparison:
Incorrect: “HCl 100 mg” interpreted as “KCl 100 mg.”
Correct: “Hydrochloric acid 100 mg.”
Question: Why shouldn’t “HCT” be used for hydrocortisone?
Answer: “HCT” might look like “hydrochlorothiazide,” which is a completely different medication. Writing “hydrocortisone” prevents errors.
Visual Example:
An example showing:
Incorrect: “HCT 25 mg” mistaken as “hydrochlorothiazide.”
Correct: “Hydrocortisone 25 mg.”
Question: What’s the issue with using “MgSO₄” for magnesium sulfate?
wer: “MgSO₄” could be mistaken for “morphine sulfate,” leading to dangerous mix-ups. Writing the full name ensures the right drug is used.
Visual Example:
A side-by-side comparison:
Incorrect: “MgSO₄ 2 g” misread as “morphine sulfate.”
Correct: “Magnesium sulfate 2 g.”
Question: Why isn’t “MS” or “MSO₄” safe for morphine sulfate?
Answer: These abbreviations might look like “magnesium sulfate,” which is a different medication. Writing “morphine sulfate” keeps things clear.
Visual Example:
An image showing:
Incorrect: “MS 10 mg” misread as “magnesium sulfate.”
Correct: “Morphine sulfate 10 mg.”
Question: What’s the risk with using “MTX” for methotrexate?
Answer: “MTX” might be mistaken for “mitoxantrone,” which is used for different treatments. Writing “methotrexate” avoids this mix-up.
Visual Example:
A comparison:
Incorrect: “MTX 50 mg” interpreted as “mitoxantrone.”
Correct: “Methotrexate 50 mg.”
Question: Why shouldn’t we abbreviate “T3” for Tylenol with codeine No. 3?
Answer: “T3” might be confused with “liothyronine,” which is used for thyroid treatment. Writing the full name ensures accuracy.
Visual Example:
An image showing:
Incorrect: “T3” mistaken for “liothyronine.”
Correct: “Tylenol with codeine No. 3.”
Question: What’s wrong with using “TAC” for triamcinolone?
Answer: “TAC” could be confused with “tetracaine, Adrenalin, and cocaine,” which are entirely different drugs. Writing “triamcinolone” keeps things clear.
Visual Example:
A chart comparing:
Incorrect: “TAC 5%” mistaken for “tetracaine mixture.”
Correct: “Triamcinolone 5%.”
Question: Why is it so important to avoid abbreviating drug names?
Answer: Abbreviations can look like other drugs or not be recognized at all. Writing the complete drug name ensures patients receive the correct treatment.
Visual Example:
An example showing a corrected prescription:
Before: “MTX 25 mg.”
After: “Methotrexate 25 mg.”
Question: Why can’t we write “DTO” for diluted tincture of opium?
Answer: “DTO” could be mistaken for “tincture of opium,” which is much stronger. Writing “diluted tincture of opium” ensures the correct medicine is given.
Visual Example:
It’s like labeling two bottles “O” and “O.” How will anyone know which is juice and which is soda? Writing “diluted tincture of opium” is like putting the exact label on each bottle.
Question: What’s wrong with using “HCl”?
Answer: “HCl” might look like “KCl” (potassium chloride) if someone mistakes the “H” for a “K.” Writing the full name clears up confusion.
Visual Example:
Imagine writing, “Add HCl,” and someone grabs the wrong jar. Writing “hydrochloric acid” is like putting a big sign that says, “THIS one!”
Question: Why isn’t “HCT” a good idea for hydrocortisone?
Answer: “HCT” might look like “hydrochlorothiazide,” which is a completely different medicine. Writing “hydrocortisone” avoids mix-ups.
Visual Example:
It’s like calling both your dog and your cat “HCT.” How will anyone know who you’re talking to? Writing “hydrocortisone” gives everyone their proper name.
Question: Why shouldn’t we use “MgSO₄” for magnesium sulfate?
Answer: “MgSO₄” might look like “morphine sulfate,” which is a totally different drug. Writing “magnesium sulfate” makes it crystal clear.
Visual Example:
It’s like saying, “Bring me MgSO₄,” and someone grabs the wrong medicine. Writing “magnesium sulfate” is like pointing right to the exact box.
Question: Why isn’t “MS” or “MSO₄” safe for morphine sulfate?
Answer: These abbreviations could be confused with “magnesium sulfate,” which is a different medicine. Writing “morphine sulfate” removes all doubt.
Visual Example:
It’s like having two friends named “MS.” If you shout “MS,” they both answer! Writing “morphine sulfate” is like saying, “The MS who loves pizza.”
Question: Why shouldn’t we write “MTX” for methotrexate?
Answer: “MTX” might look like “mitoxantrone,” which is used for different treatments. Writing “methotrexate” ensures no mistakes are made.
Visual Example:
It’s like saying, “Grab MTX,” and someone brings the wrong book because the initials match. Writing “methotrexate” shows the exact title.
Question: What’s confusing about using “T3”?
Answer: “T3” might look like “liothyronine,” which is a thyroid medicine. Writing “Tylenol with codeine No. 3” ensures the right medicine is used.
Visual Example:
Imagine calling something “T3,” and someone thinks it’s a lightbulb instead of medicine. Writing “Tylenol with codeine No. 3” is like turning on the right label.
Question: Why isn’t “TAC” a good abbreviation for triamcinolone?
Answer: “TAC” might be confused with a mixture of “tetracaine, Adrenalin, and cocaine,” which is completely different. Writing “triamcinolone” keeps things clear.
Visual Example:
It’s like labeling two boxes “TAC,” and someone opens the wrong one. Writing “triamcinolone” is like drawing a picture of what’s inside each box.
Question: Why is it so important to write full drug names?
Answer: Abbreviations can be confused with other drugs or not understood at all. Writing the full name makes sure the right medicine is given, keeping everyone safe and healthy.
Visual Example:
It’s like writing directions for a treasure hunt. If the map is blurry, people might dig in the wrong spot. Writing full names is like drawing bright, clear paths to the treasure.
Question: What’s wrong with using “TNK” for TNKase?
Answer: “TNK” might look like “TPA” (a different drug), leading to confusion. Writing “TNKase” avoids mix-ups.
Visual Example:
A comparison:
Incorrect: “TNK 50 mg” mistaken as “TPA.”
Correct: “TNKase 50 mg.”
Question: What’s the issue with abbreviating “tPA”?
Answer: “tPA” could be confused with other drugs like “TNKase” or “reteplase.” Writing the full name ensures clarity.
Visual Example:
An image showing:
Incorrect: “TPA 10 mg” mistaken as “TNKase.”
Correct: “Tissue plasminogen activator (Activase) 10 mg.”
Question: Why is “ZnSO₄” risky for zinc sulfate?
Answer: “ZnSO₄” could look like “morphine sulfate,” causing dangerous errors. Writing “zinc sulfate” makes it clear.
Visual Example:
An example showing:
Incorrect: “ZnSO₄ 2 g” mistaken as “morphine sulfate.”
Correct: “Zinc sulfate 2 g.”
Question: What’s confusing about using “Nitro” for nitroglycerin infusion?
Answer: “Nitro” might look like “sodium nitroprusside,” which is a different drug. Writing “nitroglycerin infusion” avoids confusion.
Visual Example:
A comparison:
Incorrect: “Nitro drip” interpreted as “sodium nitroprusside.”
Correct: “Nitroglycerin infusion.”
Question: Why is “Norflox” a bad abbreviation?
Answer: “Norflox” could be mistaken for “Norflex,” which is a completely different drug. Writing “norfloxacin” ensures safety.
Visual Example:
An example showing:
Incorrect: “Norflox 500 mg” misread as “Norflex.”
Correct: “Norfloxacin 500 mg.”
Question: Why is “IV Vanc” risky for intravenous vancomycin?
Answer: “IV Vanc” might be mistaken for “Invanz,” a completely different drug. Writing “intravenous vancomycin” ensures clarity.
Visual Example:
An image showing:
Incorrect: “IV Vanc” mistaken as “Invanz.”
Correct: “Intravenous vancomycin.”
Question: What’s the problem with using the dram symbol (ʒ)?
Answer: The dram symbol can look like the number “3,” causing confusion. Using the metric system instead ensures accuracy.
Visual Example:
An example showing:
Incorrect: “ʒ 2” mistaken as “3 2.”
Correct: “2 mL.”
Question: Why shouldn’t we use the minim symbol (ℳ)?
Answer: The minim symbol could look like “mL,” leading to errors. Writing “mL” ensures clarity.
Visual Example:
A side-by-side comparison:
Incorrect: “ℳ 5” mistaken as “5 mL.”
Correct: “5 mL.”
Question: What’s wrong with writing “x3d” for three days?
Answer: “x3d” could be read as “3 doses” instead of “three days.” Writing “for three days” removes the ambiguity.
Visual Example:
An example showing:
Incorrect: “Take x3d” misread as “3 doses.”
Correct: “Take for three days.”
Question: What’s the issue with using “>” and “<”?
Answer: These symbols might be read as the opposite of what’s intended, like “< 10” being read as “40.” Writing “greater than” or “less than” is much safer.
Visual Example:
A side-by-side example:
Incorrect: “< 10 mg” misread as “40 mg.”
Correct: “Less than 10 mg.”
Question: Why shouldn’t we use a slash mark (/) in doses?
Answer: A slash might look like the number “1,” so “25 units/10 units” could be misread as “25 units and 110 units.” Writing “per” instead avoids confusion.
Visual Example:
An example comparing:
Incorrect: “25 units/10 units” misread as “25 units and 110 units.”
Correct: “25 units per 10 units.”
Question: Why is it so important to follow these rules?
Answer: Small changes like writing full names or avoiding confusing symbols prevent medication errors and keep patients safe.
Visual Example:
A corrected prescription:
Before: “Nitro drip, x3d, < 10.”
After: “Nitroglycerin infusion for three days, less than 10.”