Some medications have a ceiling — "no more than 4 doses of paracetamol in 24 hours", "no more than 2mg lorazepam in 24 hours". Carerealm captures this as a per-medication max_daily_doses value.
Heads up — The limit is counted as administration events, not summed mg/ml/units.
max_daily_doses = 4means "at most 4 administrations in 24 hours". Themax_daily_dose_amountfield is free text shown in warnings (e.g. "4g paracetamol") but is NOT aggregated by the system. If you need true volume-based ceilings, build the dose-per-administration into the schedule and use the event count.
Rolling 24 hours
Same window logic as PRN dose limits — counted from the moment of recording, not from midnight.
Overriding
Hitting the limit blocks the administration with an override path. Overriding requires a reason and senior approval. The override goes to Override Logs for audit.