Background:Infusion therapy through intravenous (IV) access is a therapeutic option used in the treatment of many hospitalized patients. IV therapy is complex, potentially dangerous and error prone. The objectives were to ascertain the drug-related problems (DRPs) involved in IV medication administration and further to develop strategies to reduce and prevent the occurrence of DRPs during IV administration.Materials and Methods:A prospective observational study was carried out for a period of 4 months. Patients receiving more than two medications through IV route were included and studied.Results:Of 110 patients, 76 (69.09%) were male and the rest were female. Nearly, half of the patients (46.3%, n = 51) were reported with DRPs. Of the 80 DRPs (72.72%) documented, 61 problems (55.4%) were seen in patients given IV medications through peripheral line. Among the DRPs majority seen were incompatibilities (40.9%, n = 45), followed by complications developed (12.7%, n = 14), errors in rate of administration (10.9%), and dilution errors (8%). To study the association of DRPs among gender, statistical analysis was performed and significant association was seen between DRPs and gender (P = 0.03).Conclusion:Among the reported DRPs, simultaneous IV administration of two incompatible drugs was the main predicament faced.
Amelogenesis imperfecta comprises a group of hereditary enamel defects, characterized by enamel hypoplasia, hypomaturation, or hypocalcification of the teeth. We describe the treatment of an 8 year old boy diagnosed with autosomal dominant smooth hypoplastic AI. The patient had hypodontia and teeth with abnormal morphology; missing enamel, and a functional anterior crossbite. A treatment plan was implemented that improved function by restoring posterior teeth, improved esthetics by enhancing teeth appearance, eliminated functional deviation of the jaw, preserved the existing teeth, and promoted low cardiogenic nutrition and good oral hygiene. Treatment of young patients with AI should be oriented toward functional and esthetic rehabilitation.
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