Lecture 8 - Patient Safety

Question 1

What are the most common types of adverse events?

Answer 1

1) Related to surgical procedures

2) Drug or fluid related events

Question 2

What is involved in 70% of errors associated with patient harm?

Answer 2

Abbreviations

Question 3

What is 75-100x more potent than morphine?

Answer 3

Fentanyl

Question 4

What is a major problem with transdermal medications?

Answer 4

Absorption is high variable

Question 5

What type of patients should fentanyl patches be used on?

Answer 5

Patients who demonstrate opioid tolerance

Question 6

What is the appropriate time for an initial fentanyl patch dosage increase?

Answer 6

3 days after patch initiation

Question 7

What is the appropriate time for subsequent fentanyl patch dosage increases?

Answer 7

6 days after previous dosage increase

Question 8

What influence does temperature have on transdermal drug absorption?

Answer 8

• Increases skin permeability
• Increased hemodynamic activity
• Increased local blood flow (vasodilation)

Question 9

What is fentanyl absorption influence by? (Hint: temperature)

Answer 9

• Application of external heating source (hot water bottle, electric heating pad)
• Elevated body temperature (fever > 40 C)

Question 10

What is the proper disposal procedure for fentanyl patches?

Answer 10

Fold patch in half (sticky sides together) and dispose appropriately