Grissinger Matthew, Gaunt Michael J
Institute for Safe Medication Practices(ISMP), Horsham, Pennsylvania.
Consult Pharm. 2011 Jun;26(6):380-8. doi: 10.4140/TCP.n.2011.380.
Medication errors involving oral opioids have led to serious adverse events, including failure to control pain, over-sedation, respiratory depression, seizures, and death. This article will highlight medication errors that may arise during the use of opioid oral solutions, particularly concentrated formulations, and provide risk-reduction recommendations to address the potential for error and patient harm.
涉及口服阿片类药物的用药错误已导致严重不良事件,包括疼痛控制不佳、过度镇静、呼吸抑制、癫痫发作和死亡。本文将重点介绍在使用阿片类口服溶液(尤其是浓缩制剂)过程中可能出现的用药错误,并提供降低风险的建议,以应对潜在的错误和患者伤害。