Lubsch Lisa, Kimler Katelin, Passerrello Nicole, Parman Mindy, Dunn Andrea, Meyers Rachel
Southern Illinois University Edwardsville School of Pharmacy, Edwardsville, Illinois (LL).
SSM Health Cardinal Glennon Children's Hospital, St. Louis, Missouri (LL).
J Pediatr Pharmacol Ther. 2023;28(4):380-381. doi: 10.5863/1551-6776-28.4.380. Epub 2023 Aug 9.
Medication prescriptions for both children and adults often require the patient's current weight to determine a safe and effective dose. Medication orders in the inpatient setting typically require a patient weight be recorded prior to order verification. However, in the ambulatory setting a very different standard exists; weights are not required on prescriptions and are rarely provided by practitioners. Without this information, the community pharmacist must either ask the caregiver, who may not know an accurate weight, or simply assume that the prescriber used a current and accurate weight and calculated the dose correctly. Standard doses are prescribed for most adult prescriptions, which makes it possible for the pharmacist to identify a dosing error. Without a current patient weight, the pharmacist is not able to provide the same level of patient care to pediatric patients or adults whose prescriptions require weight-based doses. The Pediatric Pharmacy Association recommends that patient weight, recorded in kilograms, be required on all medication prescriptions in both the inpatient and outpatient settings.
儿童和成人的药物处方通常需要患者的当前体重来确定安全有效的剂量。住院环境中的用药医嘱通常要求在医嘱核实前记录患者体重。然而,在门诊环境中存在截然不同的标准;处方上不需要体重信息,从业者也很少提供。没有这些信息,社区药剂师要么询问可能不知道准确体重的护理人员,要么干脆假定开处方者使用了当前准确的体重并正确计算了剂量。大多数成人处方都开的是标准剂量,这使得药剂师能够识别剂量错误。没有患者的当前体重,药剂师就无法为需要按体重计算剂量的儿科患者或成人提供同样水平的患者护理。儿科药学协会建议,住院和门诊环境中的所有药物处方都应要求记录以千克为单位的患者体重。