Dec 7, 201114 yr So here's an example.. What if a medication for nebulization Salbutamol(Ventolin) was given intravenously instead of nebulization. what happens to the patient?
Dec 7, 201114 yr Ours are either prefilled or in a bottle that has a dropper attached. Sounds like an assignment to me.
Dec 7, 201114 yr Albuterol in higher concentrations are kept in multi use vials in our hospital (stored in our pharmacy for safety), When I give a 20 mg neb of albuterol for severe hyperkalemia, I draw it from the concentrated vial in a syringe, and transfer the med to the neb.in this case, the mix of using the syringe + trying to give the 5 med combo for hyperkalemia (most IV) I suppose I could see how it could occur.Now that you say that I do remember the small bottle. OK, so now we know it is possible to draw it up in a needless syringe and technically provide it via IV. So I guess we answer the OP question. What do you do if you did that?CONTACT THE PROVIDER STAT. Its a med error.
Dec 7, 201114 yr I think the question was "what happens to the patient," not what must we do after such an error.As to what happens to the patient...I haven't a clue...and hope NEVER to find out.Edited to add:Wow...Salbutamol can be given IV , just not sure if the neb form is the same as the IV form. Sorry.
Dec 7, 201114 yr ..i'm sorry to hear that...but it's a big No-No! it's been like, 4 hours now...is the patient still breathing?...
Dec 7, 201114 yr A response that I got from a resident I wanted to send out to ER for eval, with her refusal, was "I'd rather you throw me on hot coals than send me there!" With an error potential like this I now see she may have had a point, as she was speaking regarding her distrust.
Dec 7, 201114 yr Too much missing information....i.e.- the OP's role in medication administration (and where she learned "IVV" and "TT"), the setting, the outcome, etc. Wondering if a pre-pre-pre nursing student is just wondering? OR if this happened, and had a predictably bad outcome, and now re-thinking saying anything else???
Dec 7, 201114 yr i'm confused. i don't even understand how that would even happen. As a nurse, even if i saw the order "Albuterol IV" i would know enough to question that. If i was drawing up an albuterol into a syringe i feel like i should know enough that something just isn't right....
So here's an example.. What if a medication for nebulization Salbutamol(Ventolin) was given intravenously instead of nebulization. what happens to the patient?