MEDICATION ERRORS
Michael R. Cohen ScD, MS, RPH

$3.95
Nursing2014
October 2010 
Volume 40  Number 10
Pages 16 - 16
 
  PDF Version Available!

ABSTRACT
A nurse was caring for a recently extubated 6-year-old girl, who was agitated and thrashing, affecting her pulmonary status. The anesthesiologist, who was in the ICU for the extubation, ordered a 5 mg bolus of propofol (Diprivan). The Diprivan vial had a pharmacy label covering the mg/mL strength, so the only visible portion of the label stated "propofol 1%." The nurse miscalculated the dose, administering 5 mL (50 mg) instead of the intended 0.5 mL (5 mg). The child immediately became sedated, leading the nurse to question the dose, recalculate it, and discover the error. The nurse reported the error to the anesthesiologist, who began bag-valve mask ventilation. The child fully recovered.The calculation error might not have occurred if the vial had been labeled 10 mg/mL only, and if the pharmacy label hadn't covered the mg/mL strength. Propofol in Europe will soon be labeled with the strength only as 10 mg/mL, not 1%. The Institute for Safe Medication Practices (ISMP) has

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!


Cost:$3.95
1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Password


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.


Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.






jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events