Journal article Open Access

Usage of cardiotonic drugs at the intensive care units

Baltaga, Ruslan; Tibirnac, Petru

Background: Circulation insufficiency is one of the most common dysfunctions in the patients admitted to the intensive care units (ICU) [1]. Thesepatients need an intravenous (IV) vasoactive drug administration to optimize or support cardiovascular system (CVS). Emergency situations, hard workconditions, difficult devices’ usage and a lot of other specific factors of complex environment of ICU create favorable conditions for the occurrence ofmedical errors (ME).

Material and methods: Within this prospective study were examined the methods of administration and the types of the errors that were found duringthe administration of the following drugs: epinephrine, noradrenaline, dopamine and dobuthamine. In the period of time May – September 2016, wereexamined 50 patients from ICUs from 4 different hospitals. The age limits were between 31-100 years old. The data collection was accomplished on thebase of a questionnaire prepared beforehand.

Results: From all the number of examined patients, 33 (66%) were men and 17 (34%) – women. The body weight was indicated in the medical notesof 21 (42%) patients. To 15 (30%) of them was administrated the adrenaline, noradrenaline had the incidence in 15 patients (30%) and dopamine –17 patients (34%).

Conclusions: Tracked dosage errors in 20% of cases, 4% of them were found at dilution administration of the drugs. The inscription of administereddrug in medical notes was lacking in 2 uses.

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