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Updated: Mar 2, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
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Accidental intravenous administration of paracetamol syrup in a child

D El Mazloum1, A Boner1, A Pietrobelli1

  • 1Department of life and reproduction sciences, pediatrics, university of Verona, Verona, Italy.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|May 12, 2017
PubMed

Insights

Medication errors like administering paracetamol intravenously instead of orally can happen. Standardizing oral syringes and improving nurse supervision can prevent such critical medication administration errors.

Area of Science:

  • Pediatric critical care medicine
  • Patient safety
  • Clinical pharmacology

Background:

  • Medication administration errors are a significant concern in healthcare settings.
  • Accurate drug delivery is crucial for effective patient treatment and outcomes.

Observation:

  • An 18-month-old child received paracetamol syrup for fever.
  • A nursing error resulted in intravenous administration of the oral medication via peripheral venous access.

Findings:

  • The child was transferred to the pediatric intensive care unit.
  • Clinical improvement was observed, and risks of embolism were ruled out.

Implications:

  • Implementing standardized oral syringes can prevent medication errors.
  • Enhanced supervision for new nursing graduates is essential.
  • Effective communication strategies are vital when disclosing medical errors to parents.
Abstract

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