A hospitalized patient prescribed nifedipine XL (Procardia) 60 mg once a day informs you that at home he was taking nicardipine (Cardene) 20 mg three times a day and thinks this is the wrong drug. What is your best action?
a. Give the dose as ordered after informing the patient that this is a new medication the prescriber wants him or her to take.
b. Hold the drug and contact the prescriber to clarify the order because of the patient's concern before administering the dose.
c. Contact the pharmacy to ask what the prescriber ordered and if there was a mistake when the prescription was filled.
d. Administer the dose because nifedipine and nicardipine are from the same class of drugs and may be substituted for each other.
ANS: B
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