Jul 12, Obviously you cannot infuse from a plastic semi-rigid bottle. Jul 26, You cannot hang a semi rigid bottle so due to the vessel type it is labeled irrigation. Check it ouT. Jul 27, I truly think that although their identical, the difference in the packaging, method of opening and handling is the reason for the use of the iv bag during vascular cases, when your runner opens the bottle I do feel there's more chance of comprising your sterility then the bag. Definately a research question.
I can fax you the paperwork from USP and Abbott if that would help. Do you pour your meds in a cup or draw them up like locals? Specializes in O. Aug 7, Triagn, would you please fax or give the web site so I can use this info. It is also not known whether 0. Safety and effectiveness of 0. Caution should be exercised, and the fluid balance, glucose and electrolyte concentrations, and acid-base balance, of both mother and fetus should be evaluated periodically or whenever warranted by the condition of the patient or fetus.
It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when 0. The safety and effectiveness of 0. Its limited use in pediatric patients has been inadequate to fully define proper dosage and limitations for use. Clinical studies of 0. In general, dose selection for an elderly patient should be cautious, usually starting at the low end of the dosing range, reflecting the greater frequency of decreased hepatic, renal, or cardiac function, and of concomitant disease or other drug therapy.
This drug is known to be substantially excreted by the kidney, and the risk of toxic reactions to this drug may be greater in patients with impaired renal function. Because elderly patients are more likely to have decreased renal function, care should be taken in dose selection, and it may be useful to monitor renal function.
Frequent laboratory determinations and clinical evaluations are recommended to monitor changes in blood glucose, electrolyte concentrations, and renal function. Possible adverse effects arising from the irrigation of body cavities, tissues, or indwelling catheters and tubes can be minimized when proper procedures are followed. Displaced catheters or drainage tubes can lead to irrigation or infiltration of unintended structures or cavities.
Excessive volume or pressure during irrigation of closed cavities may cause undue distension or disruption of tissues. Accidental contamination from careless technique may transmit infection. If an adverse reaction does occur, discontinue administration of the irrigant, evaluate the patient, institute appropriate therapeutic countermeasures, and save the remainder of the fluid for examination if deemed necessary.
Intravascular volume overload may respond to hemodialysis. When used as a diluent, or vehicle for other drugs, the drug manufacturer's recommendations should be followed. When introducing additives, use aseptic techniques. Solutions should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permits. Exposure of pharmaceutical products to heat should be minimized. Avoid excessive heat. Protect from freezing.
Not for Injection. Use only if solution is clear and container and seal are intact. Isotonic Solution for Irrigation. This label should also be large and ideally cover about a third of the size of the fluid bag. The label should be attached to the bag of fluid as soon as an additive has been injected because this additive now has effectively converted the bag of intravenous fluids into an irrigation solution. Irrigation solutions should not be stored in the same location as intravenous fluids once they have been prepared.
Consideration should be given for irrigation solutions to be prepared in pharmacy and appropriately labelled there. Connecting the irrigation bag to the correct tubing when hanging it and using a dedicated irrigation pole. Intravenous fluids and irrigation fluids should ideally not be suspended together from the same IV pole.
Intravenous and irrigation fluid bags should always be spiked with their respective tubing right after they are hung on the pole.
It should be easy to visually distinguish the irrigation tubing from the IV tubing. Irrigation specific tubing and connectors should be employed whenever available. Designating a pole for exclusive use with irrigation fluid also has been described as a useful strategy to prevent this type of error. Industry should be encouraged to develop bags and tubing of different colors for irrigation solutions in the same way that they have developed yellow tubing to clearly distinguish epidural infusion lines from intravenous lines.
This color coding has been very helpful for anesthesiologists to prevent errors resulting from erroneously infusing epidural medications intravenously. Clear communication between the scrub and the anesthesia staff could also have prevented these errors. Communication about relevant matters needs to be repeated whenever there is a change of staff in the operating room and unnecessary turnover of staff should therefore be avoided as much as possible.
Implementing these changes to the operating room workflow will prevent this type of error in the future and help all operating room staff to achieve their shared goal of patient safety. To sign up for updates or to access your subscriber preferences, please enter your email address below. We want to hear from our users about how we can improve the PSNet experience.
Please select your preferred way to submit a case. Note that even if you have an account, you can still choose to submit a case as a guest. And if you do choose to submit as a logged-in user, your name will not be publicly associated with the case. Learn more information here. Provide Feedback Submit a Case. Use quotes to search for an exact match of a phrase. Example: "communication between providers and nurses". Put a minus sign just before words you don't want.
Example: "adverse events" -"drug". Example: medication safety. The PSNet Collection. Patient Safety Training and Education. Improvement Resources. About PSNet. All Content. Current Weekly Issue. Past Weekly Issues. Curated Libraries. The Fundamentals. Continuing Education. Training Catalog. Editorial Team. Technical Expert Panel. Is that solution for IV or irrigation? Copy URL. The Case Two different patients experienced similar events. The Commentary By Christian Bohringer, MD These two incidents describe a common type of error that has the potential to lead to significant adverse events for patients.
Risk arising from these incidents Gentamicin is an aminoglycoside type antibiotic that is one of the leading causes of drug-induced nephrotoxicity.
0コメント