Comparing Three Methods for Dilution Accuracy of Intravenous ă Preparations

Caroline Rios, Renaud Vialet, Christine Dosmas, Anderson Loundou and Fabrice Michel
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Renaud Vialet: Réanimation Pédiatrique et Néonatale - Centre Hospitalier Universitaire Nord
Anderson Loundou: Unité d'Aide Méthodologique - APHM - Assistance Publique - Hôpitaux de Marseille - CHU Marseille
Fabrice Michel: CVN - Centre de vision numérique - Inria - Institut National de Recherche en Informatique et en Automatique - CentraleSupélec

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Abstract: Purpose: Dilutions of intravenous medications may be inaccurate. The ă mixing technique may be a crucial factor. ă Design: Three factors of dilution were tested: volume for dilution ă (large vs small), method for mixing (shaking vs inversion), and number ă of maneuvers (3 times vs 10). ă Methods: Dilutions of glucose in saline solution were made by nurses, ă after a random factorial plan. The judgment criteria were the comparison ă between measured (Cmes) and expected (Cexp) concentration. ă Finding: Cmes (n = 40) ranged from 89.5% to 123.6% of Cexp and was ă more accurate when made with a large volume (98.4% of Cexp vs 106.5%) ă and when mixed by inversion (100.6% of Cexp vs 104.6%). ă Conclusions: Inversion rather than shaking and dilution in a large ă volume is a simple procedure for bedside medication preparation that ă allows better accuracy. The 3 versus 10 mixing procedures resulted in ă the same accuracy, which may be important for these time-consuming ă procedures. These results should be confirmed in clinical situations.

Keywords: Quality (search for similar items in EconPapers)
Date: 2016-04
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Published in Journal of PeriAnesthesia Nursing, 2016, 31 (2), pp.113-117. ⟨10.1016/j.jopan.2014.05.013⟩

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Persistent link: https://EconPapers.repec.org/RePEc:hal:journl:hal-01482521

DOI: 10.1016/j.jopan.2014.05.013

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