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 How do error reduction strategies rank in terms of effectiveness/strength?

#asansc2023 #patientsafety #anaesthesia #anaesthesia

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 Insulin dilution errors are common and several factors contribute. How can we minimise the risk of these occurring?

@73178e67 

#asansc2023 #patientsafety #anaesthesia #anesthesia

3/n

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 @9ac07000 @73178e67 Yes.. find this math really challenging in the OR. Really have to slow down and pencil it out. Don’t often have the luxury of someone to check in a rural OR. 
 @9ac07000 @73178e67 You’re ordered to give 100 “mikes” of epinephrine. Is this a safe code dose for an 11 kg child? How many ml of 1:10,000 epi should you give? The container reads “0.1 mg/ml.”
Bearing in mind the recommendation to give epinephrine early.

BTW: ChatGpt answers 
To calculate the safe dose of epinephrine for an 11 kg child, you can follow these steps:

	1.	The standard dose of epinephrine for pediatric anaphylaxis is 0.01 mg/kg of body weight.
	2.	Multiply the child’s weight (11 kg) by the standard dose (0.01 mg/kg):
11 kg * 0.01 mg/kg = 0.11 mg

So, the safe dose for this child is 0.11 mg of epinephrine.

	3.	Check the concentration of your epinephrine solution, which is 0.1 mg/ml.
	4.	To calculate how many milliliters (ml) you should give, divide the dose needed (0.11 mg) by the concentration (0.1 mg/ml):
0.11 mg / 0.1 mg/ml = 1.1 ml

You should administer 1.1 ml of the 1:10,000 epinephrine solution to this 11 kg child for a safe dose of 100 “mikes” (0.1 mg). 
 @a8ac8747 @73178e67 yes, we tend to teach 0.1ml/kg of 1:10,000 in an arrest