Examples include but not limited to: Hypertonic Premix Saline Solution 3%; Sodium Chloride 23.4% solution; Potassium Chloride 2mEq/ml, Sodium Bicarbonate 8.4%, and Magnesium Sulfate 50%.
Is potassium a concentrated electrolyte?
Potassium is an electrolyte replenisher required for the maintenance of several physiological processes in the body (1). Frequently used to treat hypokalemia and other electrolyte abnormalities, intravenous (IV) potassium is available in vials or ampules as a concentrate for dilution (1).
Which concentrated electrolyte must be removed from patient care units?
Remember that ALL concentrated electrolytes can cause serious harm, not just potassium, which is removed most often. Check routinely for the presence of concentrated electrolytes on patient care units, as sometimes they may slip through the system.
Is Sodium bicarbonate is concentrated electrolyte?
Sodium Bicarbonate Injection, USP is a sterile, nonpyrogenic, hypertonic solution of Sodium Bicarbonate (NaHCO3) in water for injection for administration by the intravenous route as an electrolyte replenisher and systemic alkalizer. The solution is offered in a concentration of 8.4% with a pH of 7.8 (7.0 to 8.5).
What is high alert medication?
igh-alert medications are drugs that bear a heightened risk of causing significant patient harm when they are used in error. Although mistakes may or may not be more common with these drugs, the consequences of an error are clearly more devastating to patients.
Is prednisone a high risk medication?
Prednisone may increase the risk that you will develop osteoporosis. Talk to your doctor about the risks of taking prednisone and about things that you can do to decrease the chance that you will develop osteoporosis.
Is calcium gluconate a high alert medication?
High Alert Medication: This medication bears a heightened risk of causing significant patient harm when it is used in error.
Why is potassium a high risk medication?
The risks associated with intravenous potassium chloride are well known. If it is injected too rapidly or in too high a dose, it may cause cardiac arrest within minutes. The effect of hyperkalaemia on the heart is complex – virtually any arrhythmia may be observed.
Do hospitals have potassium chloride?
Background. Intravenous potassium chloride (IV KCl) solutions are widely used in hospitals for treatment of hypokalemia. As ampoules of concentrated KCL must be diluted before use, critical incidents have been associated with its preparation and administration.
What can you use potassium chloride for?
Potassium chloride is used to prevent or to treat low blood levels of potassium (hypokalemia). Potassium levels can be low as a result of a disease or from taking certain medicines, or after a prolonged illness with diarrhea or vomiting.
What is the concentration of sodium bicarbonate?
7.5% concentration = 44.6 mEq NaHCO3 in 50 mL. 7.5% concentration supplies 75 mg/mL, which also consists 0.9 mEq/mL for each sodium and bicarbonate. 8.4% concentration = 50 mEq in 50 mL. 8.4% concentration supplies 84 mg/mL, which also consists 1 mEq/mL for each sodium and bicarbonate.
Can you bolus sodium bicarbonate?
NaHCO3 is administered as an IV bolus or by IV infusion. The standard dosage is 1 mg/kg of body weight as the initial dose followed by 0.5 mg/kg every 10 minutes for the duration of the cardiac arrest. A 50-milliliter bolus of NaHCO3 will raise the serum pH approximately 0.1 of a pH unit.
What is sodium bicarbonate used for?
Sodium bicarbonate , also known as baking soda, is used to relieve heartburn, sour stomach, or acid indigestion by neutralizing excess stomach acid. When used for this purpose, it is said to belong to the group of medicines called antacids.
What are the top 5 high alert medications?
The top five high-alert medications identified by the ISMP study are insulin; opiates and narcotics; injectable potassium chloride (or phosphate) concentrate (See Sentinel Event Alert, Issue 1); intravenous anticoagulants (heparin); and sodium chloride solutions above 0.9 percent.
What are the 20 emergency drugs?
- Adenosine.
- Amiodarone.
- Atropine.
- Dopamine.
- Epinephrine / Adrenaline.
- Naloxone.
- Magnesium sulfate.
- Sodium bicarbonate.
What are the top 6 high alert medications?
In addition, the summary information from the MedMarxSM 2002 report found that the top seven medications involved in events involving harm (comparable to Harm Score Categories E thru I in PA-PSRS) are high-alert medications including insulin, morphine, heparin, intravenous concentrated potassium chloride, warfarin,
Is prednisone a narcotic?
Prednisone Abuse
Prednisone is not a common drug of abuse. Although obtaining it does require a prescription, it is not listed as a controlled substance by the United States Drug Enforcement Administration (DEA).
What medications should you not take with prednisone?
Some products that may interact with this drug include: aldesleukin, mifepristone, drugs that can cause bleeding/bruising (including antiplatelet drugs such as clopidogrel, “blood thinners” such as dabigatran/warfarin, NSAIDs such as aspirin/celecoxib/ibuprofen).
What should you not take with prednisone?
Common medications that may interact with prednisone include:
- antibiotics, such as clarithromycin, erythromycin, rifabutin, rifampin, or troleandomycin.
- anticholinesterases, such as neostigmine, or pyridostigmine.
- anticoagulants (blood thinners) such as apixaban, dabigatran, fondaparinux, heparin, or warfarin.
What does calcium gluconate do to the heart?
Rapid injection of calcium gluconate may cause vasodilation decreased blood pressure, bradycardia, cardiac arrhythmias, syncope and cardiac arrest.
What is the function of calcium gluconate?
Calcium gluconate is a medication used to manage hypocalcemia, cardiac arrest, and cardiotoxicity due to hyperkalemia or hypermagnesemia. It is classified as a calcium salt.
Contents