I made a injection error... Please help me....

K+MgSO4, BSN · Nov 26, 2009

I have used 75mg of diclofenic IM in Ireland frequently. I have given it IVI but not very frequently as the anesthesits where I worked usually used Paracoxib as part of their anestetic regiem and you cannot give any other NSAID for 24hr post using paracoxib. And there are other analegisics that are better with less side effects if NPO.

I'm sorry to point out the obvious but if you were not familiar with the drug why did you not look up how to give it from the insert sheet or in your wards drug handbook???? It is the basic principal if you dont know what it is look it up and double check it.It is your registration on the line.

Blackheartednurse · Nov 26, 2009

I knew I made a big mistake..............I did not read the instruction and unfamiliar with the drug....... I just concern will it cause large harm to the patient?

Did it came in the powder or liquid? Anyway I did a little research on this little NSAID drug and it seems it can be given the IV but this route ofd administration has been researched and is avoided because apparently whem given IV this drug wont get absorbed as well if it was given PO(by mouth the med will be absorbed 100%),so I guess good news for you...also it sounds like this med is potent when taken by PO...cardiac side effects seem biggie as well peptic ulcer...for some heart does not like this pill.

Also does your facility carry both the IM form and the pill form of this particular drug.Just curious,are you a nurse working in other country..it sounds like this med usually come in only tablet form.

I'm also curious why this patient was on this med? Was it for pain? It sounds like the only harm that was done was that patient's pain wasnt relieved and people dont die because of pain..

Sorry for so many questions,just trying to solve this puzzle.

Scrubby · Nov 26, 2009

To be honest it is a concern if your giving patients an IV push with no dilution or anything without even checking the prescription first.

Does your clinical area have some sort of medical reference guide to check when preparing any IV drugs?

yatyu · Nov 26, 2009

the patient on is this drug becoz of fever>38.5oC......

Voltaren is an ampule which contain 75mg in 3ml of solution... it can be IMI and IV but only for slow infusion..........

yatyu · Nov 26, 2009

I have used 75mg of diclofenic IM in Ireland frequently. I have given it IVI but not very frequently as the anesthesits where I worked usually used Paracoxib as part of their anestetic regiem and you cannot give any other NSAID for 24hr post using paracoxib. And there are other analegisics that are better with less side effects if NPO.
I'm sorry to point out the obvious but if you were not familiar with the drug why did you not look up how to give it from the insert sheet or in your wards drug handbook???? It is the basic principal if you dont know what it is look it up and double check it.It is your registration on the line.

I have learned from this mistake........I feel so sad......but I don't want to hurt anyone...

Katie5 · Nov 26, 2009

I knew I made a big mistake..............I did not read the instruction and unfamiliar with the drug....... I just concern will it cause large harm to the patient?

. Isn't the client stable yet?Did you give another dose of the medication?Is there something else we're not being told?

Blackheartednurse · Nov 26, 2009

. Isn't the client stable yet?Did you give another dose of the medication?Is there something else we're not being told?

huh?? No need for sarcasm,obvisously the OP is scared and is aware of the impact of a mistake she/he has made.

Please dont eat another nurse,everyone makes mistakes,the key is to learn from it!

onetiredmomma · Nov 26, 2009

Back at the begining of this thread you called yourself "stupid". YOu are not stupid, you made an error and you will learn from it and move on and never ever make this mistake again with an injectable. Please stop beating yourself up over this!

Katie5 · Nov 26, 2009

huh?? No need for sarcasm,obvisously the OP is scared and is aware of the impact of a mistake she/he has made.
Please dont eat another nurse,everyone makes mistakes,the key is to learn from it!

I posted the above comment because the OP seems (to me) in a panic.

Rightly I understand her worries, but I don't want her overly fretting.She's taken some the very good steps of calling the dr, monitoring her patient, researching on the drug.Now what's left is her peace of mind and renewed confidence in her abilities.

In my own way, I wrote thus to get her somewhat defensive and regain confidence.;)It was never sarcasm.

PS- Coming from you "blackheartednurse", I'm impressed:D

dya1309 · Apr 19, 2016

hi everyone. just want to share my experience.

i was once treated at emergency department due to dysmenorrhoea and the staff wrongly give me IV bolus of voltaren 75mg. i did not die because of that injection but the side effect was bad. for more than a month, i cannot think straight. my view was like partially covered. if i look at something, it feels like i'm wearing a cap on my head where i can only see it from half to the bottom. if i want to look at the top part, i have to raise my head and look at the top straight. definitely it was the worst day of my life since i was a student on that time and it does affect my study.

hopefully no one will experience this error anymore. i know that the staff didnt mean to give it wrongly but yes, do double or triple check before doing something which related to patient's body. learn from mistakes :)

klone, MSN, RN · Apr 19, 2016

7 year old zombie thread

chiromed0 · Apr 20, 2016

I see that IV diclofenac is 50 or 75mg. So you gave 75 instead of 50? One time? No big deal. Don't know what your policies are about that or what you did after but the patient will probably be fine. Usual NSAID risks that I have yet to see with one administration.