Medication Errors
Michael R. Cohen ScD, MS, RPH

February 2011 
Volume 41  Number 2
Pages 11 - 11
  PDF Version Available!

Two products commonly used in hospitals and long-term-care facilities come in 28 mL spray bottles. Although the labels look slightly different, the bottles look very similar, raising the risk of a mix-up.Cavilon (shown on left, above), a spray barrier film from 3M, is applied to intact or damaged skin to create a waterproof barrier between the skin and body wastes, fluids, adhesive products, and friction. Allegiance is an odor neutralizer from Cardinal Health that contains chlorine dioxide. This oxidizing agent can cause redness, irritation, and transient pain if applied to the skin. In one case, a wound-care provider picked up the odor neutralizer spray instead of the spray barrier film. The patient wasn't harmed. No special treatment is recommended by the manufacturer if the odor-neutralizing spray is used on the skin. Be sure to read labels, even on nonpharmaceuticals, before administering a treatment.Adding drugs to parenteral nutrition bags or I.V. bags of any type can be risky. Without

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