RESIDUAL VOLUME OF AMPOULE-VIALS AND UNDERDOSING OF MEDICATIONS PREPARED BY A NURSING STAFF

• Main Authors: Francine Rodrigues Witkouskas (Author), Patricia Magnabosco (Author), Luana Gabriele Souza Alves (Author), Simone de Godoy (Author), Leila Maria Marchi-Alves (Author)
• Format: Book
• Published: Universidade Federal do Paraná, 2022-08-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 10.5380/ce.v27i0.86908; 1414-8536; 2176-9133
• Keywords: Nursing; Medication Therapy Management; Nursing Care; Medication Errors; Drug-Related Side Effects and Adverse Reactions.; Nursing; RT1-120; Medicine (General); R5-920; Public aspects of medicine; RA1-1270
• Source: Cogitare Enfermagem, Vol 27 (2022)

Objective: Identify the residual volume in ampoule-vials after the preparation of injectables, associating the errors related to underdosing with the classes of drugs. Method: This is a descriptive study with a quantitative approach. Data were collected between December 2020 and September 2021, in a private outpatient service located in a Brazilian municipality in the northeast of the state of São Paulo. A total of 562 ampoule-vials of medications prepared by a nursing staff were analyzed. A form was used containing the commercial name of the medication, therapeutic class/indication, reconstitution date and time, volume used to reconstitute the medication and residual volume of each vial. The data were tabulated and analyzed using descriptive statistics and the ANOVA test. Results: theresidual volume of 462 (82.2%) ampoule-vials varied between 0.1 ml and 1.5 ml, whereas 165 (29.4%) ampoule-vials had 0.2 ml of residual volume, with a mean loss of 4.5% of the solution. There was no difference in the loss of solution between the different classes of drugs. Conclusion: The findings highlight the need for interventions to reduce failures in the medication preparation phases, with emphasis on errors associated with therapeutic underdosing.