诊所和医院的注射异丙嗪:有什么替代方案?

IF 0.8 4区 医学 Q3 MEDICINE, GENERAL & INTERNAL Jaapa-Journal of the American Academy of Physician Assistants Pub Date : 2025-01-01 Epub Date: 2024-12-19 DOI:10.1097/01.JAA.0000000000000077
Andrew Overholser, Megan Sizemore, Eric Czech
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引用次数: 0

摘要

摘要:美国安全用药实践研究所和美国卫生系统药剂师协会提倡从住院和门诊环境中取消所有注射异丙嗪;然而,当无意中通过皮下或动脉内途径给药时,尽管存在组织坏死、坏疽和可能截肢的风险,这种药物仍在使用。本文描述了可根据患者合并症、适应症和临床医生经验选择的替代注射药物。
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Injectable promethazine in clinics and hospitals: What's the alternative?

Abstract: The Institute for Safe Medication Practices and the American Society of Health-System Pharmacists have advocated for removing all injectable promethazine from inpatient and outpatient settings; however, this drug is still being used despite the risk for tissue necrosis, gangrene, and possible amputation when it inadvertently is given by the subcutaneous or intra-arterial route. This article describes alternative injectable medications that can be selected based on patient comorbidities, indications, and clinician experience.

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来源期刊
CiteScore
1.20
自引率
9.10%
发文量
310
期刊介绍: ​​​JAAPA is the peer-reviewed clinical journal of the American Academy of Physician Assistants (AAPA). Published for more than 25 years, its mission is to support the ongoing education and advancement of physician assistants (PAs) by publishing current information and research on clinical, health policy, and professional issues. Published monthly, JAAPA''s award-winning editorial includes: -Clinical review articles (with AAPA-approved Category I CME in each issue)- Case reports- Clinical departments- Original health services research- Articles on issues of professional interest to PAs
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