Mon, 20 Nov 2017

Assessment of Intravenous Admixtures in Hospitalized Patients of a Rural Tertiary Care Teaching Hospital

 

K. V. Ramanath*1, Hymavathi R1

1. Department of Pharmacy Practice, Sri Adichunchanagiri College of Pharmacy, B G Nagara-571448, Mandya District, Karnataka, India.


 

ABSTRACT

 

Intravenous Incompatibilities are ‘undesirable reactions which occur when two are more drugs are administered through a single intravenous line or given in a single solution’, will leads to experience toxicity or an incomplete therapeutic effect in the patient.   Hence the present study mainly focused on clinical pharmacist assessment in intravenous admixtures administration.This study was an observational, prospective study method. When a single (drug solution) two or more drug (drug-drug solution compatibilities) administered directly into the infusion or in the same infusion line, the compatibility of the drug will be checked by using primary, secondary or tertiary resources. A one day workshop was conducted for the nursing professionals about intravenous incompatibilities for increasing the awareness and for providing of standardized nursing care services while administering of intravenous drugs. The results of this study showed that out of 145 combinations; 25 (17.24%) are compatible, 41 (28.28%) incompatible, 10 (6.9%) variable and 69 (47.58%) undocumented.  Comparative evaluation of pre and post test score percentage of 78 participants showed that,  ≤ 40 percentage score was observed in 37.18% in pre-evaluation test whereas only 5.13% was observed in the post-evaluation test, and interestingly  >80 percentage score was not found in the pre-evaluation test, whereas 7.69% participants  scored in the post-evaluation test . This study showed that Clinical Pharmacist assessment in intravenous admixture will helps in minimizing of incompatibilities ,  unidentified area research gaps , and also make the nurses  to aware about nursing care /precautions in intravenous administration.

Key words: Intravenous admixtures, Incompatibilities, Clinical Pharmacist.


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