The intravenous administration of drugs in the Paediatrics and Neonatology areas of a hospital requires extreme caution during every stage of the process, from prescription by the doctor to the initiation and monitoring of the infusion, due to the greater vulnerability of this type of patient. This means that the use of infusion pumps in these areas is highly recommendable.
Paediatric patients, and especially new-born babies, present a special challenge to clinical staff. The calculation of the dose of medication must be adapted even further to the characteristics of this type of patient (age, body surface area to weight ratio) and to their individual circumstances (level of hepatic and renal maturity, metabolism, elimination capacity and other physical and biochemical factors).
This guide, created by the Pharmacy Service at the General University Hospital of Elche gives a detailed description of the different stages in the process of preparing and administering medication in paediatric and neonatal patients: calculation of dosages, dilutions, preparation of the medication and so on, in addition to explaining precautions that must be taken to ensure correct administration and quantifying the most common errors.
The small calibre of veins in these patients means that the preferred choice of blood vessels for inserting a catheter enabling the correct infusion of treatment is different than in the case of adults. In neonatal patients, it is very common to use veins in the scalp, which allow for a correct and rapid infusion of the medication. In the case of paediatric patients, it is necessary to take the greater mobility of these patients into account when choosing the line: for this reason blood vessels on the back of the hand, forearms and feet (for peripheral lines) or the external jugular vein (for central lines) are normally chosen. In these circumstances the catheter, once inserted, must be secured using splints or other systems to prevent the patient from being able to remove it.
In any case, and especially in this kind of patients, the “5 Cs” for the administration of drugs is even more important: correct medication, correct patient, correct dosage, correct time and correct line.
Infusion pumps in paediatric and neonatal patients
The use of infusion pumps in Paediatrics and Neonatology is recommended in all clinical guides. The arcomed Chroma series infusion pumps provide an extra layer of safety in the care of this type of patient:
- Adjustable pressure and air bubbles limits to the specific requirements of neonatal and pediatric patients..
- Possibility of setting maximum and minimum limits and pre-warnings in the flow of infusion for each medication..
- Semi-automatic loading of syringe, to avoid the administration of undesired boluses..
- Systems for reducing errors in dosage and colour-coding system for drugs..
- Conectivity with the hospital IDMS/PDMS system..
- Easy to apply using the UniQueDOC docking station..
At arcomed, we use the latest technology to take care of little ones.