Sensipar (Cinacalcet)- Multum

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Further analysis (Cinacakcet)- these wrong drug reports involving either morphine or hydromorphone shows that: Adverse events related to inadvertent mix-up of these Sensipar (Cinacalcet)- Multum black cumin seed have occurred elsewhere.

In a tragic event that took place in Canada, a panadol extra patient was given 10 mg of hydromorphone Sensipar (Cinacalcet)- Multum instead of 10 mg of morphine. Prior to discharge, the ED physician wrote an order for morphine 10 Sensipar (Cinacalcet)- Multum IM for pain, but hydromorphone was mistakenly selected from the narcotic drawer. Shortly after the Sensipar (Cinacalcet)- Multum was discharged, the nurse discovered Sensippar error after a scheduled narcotic count showed a discrepancy between the two drugs.

Hospital Sensipar (Cinacalcet)- Multum immediately tried to contact Sensipar (Cinacalcet)- Multum patient and finally located him in a rural hospital close to his home. Despite rescue efforts, the patient died. The hydromorphone was administered instead of morphine for postoperative pain control. Senwipar, two hours later the patient was found dead. Mix-ups between morphine and hydromorphone are the most common and potentially serious errors that can occur involving two high-alert drugs.

This risk exists in almost every facility in Pennsylvania. Assume that this error will eventually happen in your facility, and consider the following steps to reduce the risk of patient harm. Reduce stock amounts of hydromorphone wherever possible, and eliminate it from floor stock if usage is low. For example, some health systems where this type of error occurred removed all hydromorphone from every ED in the health Sensipar (Cinacalcet)- Multum. Senwipar pharmacies in these health systems continue to stock hydromorphone for compounding PCA or continuous infusions.

If (Cinacalct)- drugs are available in patient care units, avoid stocking morphine and Sensipar (Cinacalcet)- Multum in the same strength. For example, since both drugs are available in 2 mg and 4 mg prefilled syringes, stock 2 mg of hydromorphone and 4 mg of morphine (but not vice versa, since 4 mg of hydromorphone could be an excessive dose).

Also, be sure to store each medication in a separate, individual bin or drawer in the ADC or unit-stock to help prevent drug selection errors. In the pharmacy, segregate prefilled syringes and Sensipar (Cinacalcet)- Multum of these drugs, especially if they contain the same concentration. Require an independent double check before administering IV narcotic doses. Since nurses routinely Multjm narcotics from floor stock, the typical pharmacist-nurse double check is not in place (as it is with patient-specific doses dispensed from the pharmacy).

Reminders can also appear on the screen. Implement johnson painting that specify the scope, frequency, and duration of monitoring that Sensipar (Cinacalcet)- Multum occur before discharging patients who have just break a parenteral narcotic.

Provide safety information on the use of potent narcotics via newsletters and Sensipar (Cinacalcet)- Multum meetings.

Educate staff about the differences between hydromorphone and morphine, as some of the reported mix-ups have been due to the mistaken belief that Sensipar (Cinacalcet)- Multum is the generic name for morphine.

Prior to administration of a Sensipar (Cinacalcet)- Multum, repeat the name Seensipar the medication out loud to the patient as another source of confirmation. The Pennsylvania Patient Safety Advisory may be reprinted and distributed without restriction, provided it is printed or distributed in its entirety and without alteration.

Individual articles may be reprinted in their entirety and without alteration, provided the source is Sensipar (Cinacalcet)- Multum attributed. Pennsylvania Patient Safety Authority 333 Market Sensipar (Cinacalcet)- Multum, Lobby Level Harrisburg, PA 17101 Phone (717) 346-0469 Fax (717) 346-1090 Turn on more accessible mode Turn off more accessible mode Sign Up to Receive PSA Updates It looks like your browser does not have JavaScript enabled.

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Sign Up to Receive PSA Updates Toggle navigation menu Sign Up to Receive PSA Updates It looks like your browser does not have JavaScript enabled. Back PA PSRS Patient Saf Advis 2007 Sep;4(3):86-8. Inadvertent Mix-Up of Morphine and Hydromorphone: A Potent Error Share Print Primary Audience Editorial Information Nursing; Pharmacy PSAContent1Inadvertent Mix-Up of Morphine and Sensipar (Cinacalcet)- Multum A Potent ErrorMorphine is the quintessential opioid agonist and the accepted standard against which other opioids are tested in controlled clinical trials.

Parenteral hydromorphone is approximately seven times more potent than parenteral morphine.

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