QSNICH IV Drug Y-Site Compatibility Wall Charts for Pediatric Critical Care at Queen Sirikit National Institute of Child Health

Abstract

Background: The administrative principle of mutual intravenous injection indicated that the compatibility of each drug must be tested. It revealed that the drug combinations were infused in y-site connector, it might be incompatible and from sediment even in a brief time. In fact, physical compatibility and chemical compatibility depends on diverse factors. For example, fluid combination, acidity or basicity (pH) of drugs, combined drug concentration, and drug storage temperature. Therefore, every mutual intravenous injection with Y-site connector is necessary to test the drug compatibility to prevent sedimentation while administrating drugs to patients that might lead to death. Objective: Therefore, the researcher aimed to develop the chart of intravenous drug compatibility administrating through y-site connector for the care of critically ill children. The prominent points are verifiable, convenient and fast. Specifically, drug list and actual concentration. The purpose of this research was to maintain the maximum patient’s safety during intravenous injection via the y-site connector.  Method: International research has compiled data on intravenous drug compatibility administrating through y-site connector. However, such data is unadaptable for Thailand's critically ill children as appropriate.  Hence, it originated the list of drugs, drug types, product strengths and actual concentrations in the Queen Sirikit National Institutes of Child Health's Pediatric Intensive Care Unit (PICU). The ultimate objective was to form a verifiable, convenient and fast triangular ladder to retrieve and suitable for practical use in various wards.Result: When comparing intravenous drug compatibilities in the ladder form (new method) and traditional book (old method) to determine intravenous drug compatibility administrating through y-site connector from 21 samples, it was found that the average mean of the new method was significantly lower than the traditional method (p=0.002).Conclusion: The chart of intravenous drug compatibility administrating through   y-site connector can be verifiable, convenient, and fast. It is suitable for Pediatric Intensive Care Unit.