Accidental intravenous delivery of oral
suspension, which is rarely addressed in standard practice, may result in
patient injury. We were given a report of an instance where a patient had
unintentionally taken an oral liquid formulation intravenously. The main reason
for this inaccuracy is the custom of preparing or administering oral liquids in
parenteral syringes. The attachability of parenteral syringes to needleless IV
lines via the Luer connection as well as the cognitive weariness staff members
experience when multitasking are other factors that contribute to the
incidence. Healthcare professionals tend to downplay this fact, thus we
constantly educate our employees to dispense and provide unit dosages of oral
liquids using oral syringes. As a result, oral preparations that are
commercially available or custom-made should be administered using specific
cups, oral syringes, or other containers that are appropriate for the
particular preparation. Oral syringes must be accessible in the hospital and in
patient areas where liquid doses are given orally in order to ensure compliance
with this practice. Since oral syringes are not readily available in Pakistan,
nurses frequently administer oral liquids using intravenous syringes to prevent
dose spillage, particularly in toddlers or uncooperative patients. The
availability of oral syringes in hospitals may aid in reducing medication
errors during accidental administration.
Author(s) Details:
Muhammad Gulzaib,
Department of Pharmacy Services, Shifa International Hospitals Ltd.
(SIH), Pitras Bukhari Road, H-8/4, Islamabad, Pakistan.
Salwa Ahsan,
Department of Pharmacy Services, Shifa International Hospitals Ltd.
(SIH), Pitras Bukhari Road, H-8/4, Islamabad, Pakistan.
Yawar Najam,
Department of Pediatrics, Shifa International Hospitals Ltd. (SIH),
Pitras Bukhari Road, H-8/4, Islamabad, Pakistan.
Please see the link here: https://stm.bookpi.org/CPMS-V5/article/view/7652
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