Paediatric drug handling by Ian C. Wong, Catherine Tuleu, Ian Costello, Vincent Yeung,

By Ian C. Wong, Catherine Tuleu, Ian Costello, Vincent Yeung, Paul Long

This quantity within the ULLA sequence is an introductory textbook on paediatric drug dealing with. Written for brand spanking new pharmaceutical scientists, this ebook goals to provide a history of paediatric pharmacy. Its scope is to provide a complete creation to kid's drugs when it comes to dosing in perform and paediatric pharmaceutics, physiological and drug disposition modifications, scientific pharmacology and pharmacogenomics. Paediatric laws around the globe in addition to drug licensing and scientific trials, compliance, security and pharmacovigilance concerns can be constructed

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V. m. v. v. 4 Continued 10 year old 14 year old Incorrect drug Incorrect drug Preterm neonate 12 year old 4 day old 3-day-old preterm 1 month old 11 month old Preterm baby 5 year old Outcome Anaesthetic in dental surgery Death Nitrous oxide/oxygen. v. v. dextrose, infusion rate not controlled Death Incorrect rate Dobutamine, infusion given too rapidly Death Incorrect container Antidepressants from father’s medicine not Death put in childproof container Omitted in error Potassium chloride was omitted and not put Death in dialysis fluid Anaesthesia Anaesthetic (given general anaesthesia for Death tooth extraction) Steps taken to prevent future error Not mentioned Not mentioned Not mentioned Page 31 7 year old Description of the error involved 13:26 Type of error 16/12/06 Patient involved Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned From Cousins et al.

Education and training: (a) The coroner criticised Dr HE for her lack of mathematical skills. (b) Dr HE said that she had only been on the ward for 2 months as part of her training to be a GP, and it was the first time that she had prepared a morphine dose for a baby Error-producing condition 1. Work environment: (a) Paediatric ward is at higher risk than other wards. (b) Nurse SS said that there had been ‘pandemonium’ in the hospital that day. 03 Chapter 3 (dm) 16/12/06 13:26 Page 38 38 Medication errors in children 2.

V. 4 Continued 10 year old 14 year old Incorrect drug Incorrect drug Preterm neonate 12 year old 4 day old 3-day-old preterm 1 month old 11 month old Preterm baby 5 year old Outcome Anaesthetic in dental surgery Death Nitrous oxide/oxygen. v. v. dextrose, infusion rate not controlled Death Incorrect rate Dobutamine, infusion given too rapidly Death Incorrect container Antidepressants from father’s medicine not Death put in childproof container Omitted in error Potassium chloride was omitted and not put Death in dialysis fluid Anaesthesia Anaesthetic (given general anaesthesia for Death tooth extraction) Steps taken to prevent future error Not mentioned Not mentioned Not mentioned Page 31 7 year old Description of the error involved 13:26 Type of error 16/12/06 Patient involved Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned Not mentioned From Cousins et al.

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