Concerning Case Of Infant’s Mother Finding Incorrect Directions On Paediatric Propranolol Oral Liquid Label
In a story that further highlights the critical importance of developing and assessing the competencies required for safe medication practice associated with bodyweight and body surface area dosage problems - Pharmacy Times recently reported a prescriber error for a three-month-old patient. What was the background of this case? Writing for the news outlet, Michael J. Gaunt, PharmD – a senior director of error reporting programs at the Horsham, Pennsylvania-based Institute for Safe Medication Practices – stated that an oral liquid medication (Propranolol) had been prescribed for a 7.2kg infant with a fast-growing benign vascular tumour, infantile hemangioma. According to the Pharmacy Times article, the pharmacy reached out to the physician’s office to seek clarity about the medication order. On arrival to pick up the prescription, the parent was dispensed 20 mg/5 mL (4 mg/mL) of Propranolol. The following instructions accompanied the medication order: “Ad...