Med Error Analysis

medicament Error: The Error Administration of Phytonadione Nhu L. Vicente El Camino College medicine Error: The Error Administration of Phytonadione Medication error is a problematic event in only health care facility. many another(prenominal) scholars have conducted researches to rule step to the fore the cause of, and find the consequence for, medication error. In their ruminate of neonatal medication error, Sauberan, Dean, Fiedelak, and Abraham (2010) strand that the major reason of medication error in their neonatal intensive care units is the smorgasbord up between panorama-alike heavy(p) and neonatal strengths (p. 49). In their first slipperiness study, the adult strength of Phytonadione (also known as vitamin K1) is incorrectly administered into the neonate at three hours of tone. Although the infant is fin aloney carry through in good condition, the mistake is a hard lesson for all health care workers. Lets take a close look at how the error had happe ned. Phytonadione, an antidote of Coumadin, is frequently apply in the balkion of origin thinning in the newborn. The common patsy name in the United States includes AquaMephyton and Mephyton. According to Schulls medicate handbook (2006), Phytonadione acts on the liver to promote the skill of active prothrombin, proconvertin, plasma thromboplastin component, and Stuart factor. In other words, it promotes bank line clotting. The safe dose for neonate is 0.5 to 1 mg injected intramuscularly within one hour of birth. Adverse reactions include: hyperbilirubinemia, pain, swelling, shackle at injection site, and anaphylactoid reactions. Because neonates in the first few hours of breeding usually dont have adequate vitamin K in their blood stream, physician often prescribes Phytonadione to nix hemorrhaging of the newborn. However, the patient in the case study was given also much vitamin K. This medication error puts the patient at render of hemolytic anemia and hyper bilirubinemia (Sauberan et al., 2010). The e! rror involves a chain of healthcare personnel from the...If you want to get a full essay, notice it on our website: OrderCustomPaper.com

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