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Discussion

Medication Errors?

So here's an example.. What if a medication for nebulization Salbutamol(Ventolin) was given intravenously instead of nebulization. what happens to the patient?

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Ours are either prefilled or in a bottle that has a dropper attached. Sounds like an assignment to me.

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.

That may be the weirdest question I've ever heard:confused:

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 :eek:, just not sure if the neb form is the same as the IV form. Sorry.

And the OP is .....where?

And the OP is .....where?

:redlight: Running. Really fast. Far far away.

..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?...

:igtsyt:This old, chubby, nurse, is running away chewing!:banghead:

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.

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??? :confused:

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....

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