Saturday, September 8, 2012

Accounting for PRN doses

A long-time Palm user asked:   "Is there a way to set a time and account for PRN doses on the iPhone app?" 

Short answer - Yes.  

One example for this type of dosing.  A patient may have a sleep medication that can be taken at 9 PM, but only if and when the patient feels it's needed and wants to log it so the quantity on hand will be accurate.   
Here's a little workaround to handle this:    

1.  Set up a drug record for the PRN medication including the PillCount on hand. This number will decrease appropriately each time a dose is taken.

2.  Enter 9PM for the dose time then switch from Routine to PRN on the Schedule button.  This will gray out the Schedule and Repeat buttons, because it cancels any alarms.  However, a [Take] button will display for the drug on MyMeds. 

3. Set up a new drug record as a Task/event and call it  [Decide Now]. 

4. Set a Routine Daily alarm at 9PM (No need to enter a Pill Count here.  This is just a reminder to decide whether or not the drug is needed at 9PM).  Tap Yes to clear the alarm and indicate that you "Decided".   If none was needed, you're done.

5. If a dose was needed, click MyMeds and tap the [Take] button to log the dose and the pill count will decrease appropriately. 

The remaining Days Supply will display on MyMeds.  It's up to you to decide when it's time to refill a PRN prescription or replenish the supply of an Over-the-Counter drug.



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