偏离国家剂量建议,用于患有医院外紧急情况的儿童
Sriram Ramgopal1, Christian Martin-Gill2
1Division of Emergency Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, Illinois.
Pediatrics
|July 10, 2023
概括
在紧急情况下的儿科药物剂量往往与国家指导方针不同,低剂量是像洛拉泽和泽这样的关键药物的常见情况. 提高医院前儿科药物准确性对于患者安全至关重要.
科学领域:
- 紧急医疗 紧急医疗
- 儿科护理 儿科护理
- 药理学 药理学是指药理学的学科.
背景情况:
- 此前关于儿科医院前药物剂量的研究范围有限.
- 这项研究解决了在儿科紧急护理中对剂量变异的更广泛评估的需要.
研究的目的:
- 评估儿童药物剂量的偏差,从国家指导方针在医院前设置.
- 为了识别具有高剂量变异率的特定药物.
主要方法:
- 对儿科接触 (2020-2021) 的医院前患者护理记录的分析.
- 对11种常见药物的剂量偏差 (≥20%的体重适当剂量) 的评估.
- 包括大约2000个紧急医疗服务机构的数据.
主要成果:
- 超过6.4%的儿科接触接受了非 nebulized 药物; 53.9%是研究药物.
- 只有42.6%的研究药物管理与国家指导方针一致.
- 迪亚泽巴姆 (19.5%) 和洛拉泽巴姆 (21.2%) 是对指导方针的遵守率最低的药物,低剂量是普遍存在的.
结论:
- 与国家指南相比,医院前儿科药物剂量存在显著差异.
- 可能的原因包括协议变化和剂量错误,需要有针对性的干预措施.
- 未来的努力应集中在教育,质量改善和研究上,以提高儿科药物安全性.
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