IRRATIONAL USE OF INTRAVENOUS INFUSIONS FOR PATIENTS VISITING Shiekh Khalifa Bin Zaid Combined Military Hospital MUZAFFARABAD; A CROSS-SECTIONAL STUDY
Article Sidebar
Main Article Content
Abstract
IV Infusions are a rapid mean of infusing drugs. Hospitals are commonplace for their use, but at the same time, they have many serious potential complications.
Aims & objectives: This study aims to know the prevalence of irrational use of intravenous infusions and awareness among patients visiting SKBZ/CMH regarding hazards of such use. Materials and Methods: It was a cross-sectional study in which 270 subjects were studied. Oral intake of fluids, theseverity of dehydration, vomiting, and diarrhea was used as confirmatory criteria for using IV Infusions. The data was collected, analyzed and tabulated at last categorize as the irrational versus arational use of IV Infusions.
Results: Of 270 subjects, 73.1% were females. 7.8% subjects never used IV Infusions in their life. Of all users, 43.3% were unjustified users and this was a significant aggregate that people may get harmed. The subjects blind of its hazards were 78.9% among rational users and 85.3%among irrational users. In both categories, 92.8% subjects were prescribed by doctors. Among unjustified users, all of them took fluid orally, while n=57, n=32, and n=41 subjects had mild and moderate vomiting, diarrhea and dehydration respectively. Conclusion: There is a significant unjustified used of IV Infusions in the current area. Both educated and non-educated people get prescription of IV infusions irrationally at almost an equal rate; it is because the majority of the subjects in both categories is blind of its hazards, so there is a dire need to create awareness about the proper use of IV infusions in the current area under study.
Article Details
© Journal of Asian Medical Students’ Association (JAMSA). Released under a Creative Commons license.
References
Ding Q, Barker K.N, Flynn E.A, Westrick S.C, Chang M, Thomas R.E, Braxton-Lloyd K , Sesek R.
Incidence of Intravenous Medication Errors in a Chinese Hospital. The value in Health Regional Issues 2015 May. V(6). 33-39. Available from : https://doi.org/10.1016/j.vhri.2015.03.004
Holloway K. Combating inappropriate use of medicines. Expert Review of Clinical Pharmacology. 2011 May;4(3):335-348. Available from : https://doi.org/10.1586/ecp.11.14
World Health Organization. The pursuit of responsible use of medicines: sharing and learning from country experiences. Geneva: World Health Organisation; 2012. Available from: http://www.who.int/medicines/publications/responsible_use/en/index.html.
Mokhtar Ahmad P. Medication Errors. HPJ Pharmacy Bulletin. 2014 november ; 2/2014: 12-14.
Padhi S, Bullock I, Li L,Stroud M. Intravenous fluid therapy for adults in hospital: summary of NICE guidance. BMJ. 2013;347:f7073. Available from : https://doi.org/10.1136/bmj.f7073.
Hoste E.A, Maitland K, Brudney C.S, Mehta R, Vincent J-L, Yates D et al. Four phases of intravenous fluid therapy: a conceptual model.British journal of anaesthesia; 2014 november; 113(5): 740-747. Available from: http://dx.doi.org/10.1093/bja/aeu300
Administration of intravenous (IV) medicines (adults). Walsall community of health; 2011.
Schmid M.W. Preventing Intravenous Catheter-Associated Infections: an update. Infection cotrol today. Available from : http://www.infectioncontroltoday.com/articles/2001/06/preventing-intravenous-catheter-associated-infect.aspx. Assess date [7.jan.2018].
Hospital-Acquired Infections. Available from: http://www.surgeryencyclopedia.com/Fi-La/Hospital-Acquired-Infections.html
Naidu K, Nabose I, Ram S, Viney K, Graham S.M, Bissell K. A Descriptive Study of Nosocomial Infections in an Adult Intensive Care Unit in Fiji: 2011-12. Journal of Tropical Medicine. 2014 (2014):5. Available from : http://dx.doi.org/10.1155/2014/545160.
Curtis R. Catheter-Related Bloodstream Infection in the Intensive Care Unit. Journal of the Intensive Care Society. 2009;10(2):102-108. Available from: http://journals.sagepub.com/doi/abs/10.1177/175114370901000208 [ assess date 7.jan.2018].
Haut E, Kalish B, Cotton B, Efron D, Haider A, Stevens K et al. Prehospital Intravenous Fluid Administration Is Associated With Higher Mortality in Trauma Patients. Annals of Surgery . 2011 ;253(2):371-377. Available from: doi: 10.1097/SLA.0b013e318207c24f.
Cebeci F,Karazeybek E,Dag G.S,Kahveci R. Nursing students' medication errors and their opinions on the reasons of errors: A cross-sectional survey. Journal of Pakistan Medical Association. 2015may ; 65(5),457-462. Available from : http://jpma.org.pk/PdfDownload/7338.pdf ( assess date: 11.1.2018).
Gediwon Negash1, Yonathan Kebede1, Segewkal Hawaze, Medication errors in the adult emergency unit of a tertiary care teaching hospital in Addis Ababa. Archives of pharmacy practice. 2013; 4(4). 147-153. Available from: 10.4103/2045-080X.123220.
Ismail S, Taqi A. Medical errors related to look-alike and sound-alike drugs. Anaesth Pain & Intensive Care 2013;17(2):117-122.
Al-Jarrah B.H, Al-Nema Z.M. Indications of IV Fluids in Medical City.THE IRAQI POSTGRADUATE MEDICAL JOURNAL.2009; 8(4),380-383.
Carrol H. Women who risk their lives injecting vitamins to stay looking young: the new health trend growing in popularity. Available from: http://www.dailymail.co.uk/femail/article-2930728/Women-risk-lives-injecting-vitamins-stay-looking-young-new-health-trend-growing-popularity.html [assess date 7.jan.2018]