我院儿童静脉用药特殊剂量调配分析
Analysis of Special Dose Dispensing of Intravenous Drugs in Children in Our Hospital

目的：探讨特殊剂量药物应用于儿童静脉用药调配的方法。方法：收集儿童医院静脉用药调配中心2023年的特殊药物分剂量，整理出最具代表性的药物，探讨相应的合理调配方法，规范特殊剂量药物的调配。结果：收集的特殊分剂量药物中，胰岛素注射液使用剂量为2单位的医嘱占76.67%，使用剂量为5单位的医嘱占23.33%；氨茶碱注射液使用的最小剂量为0.008 g，使用剂量不超过0.02 g的医嘱占全年医嘱用量的60.61%；肝素钠注射液的使用最小剂量为250单位，占全年医嘱用量的51.77%。结论：儿童静脉输液用药时统一特殊剂量药物的调配方法，能够保证药物调配的准确性，提高特殊剂量药物的调配质量，保证患儿用药的安全性和有效性。
Objective: To explore the application of special dose drugs to children intravenous drug dispensing. Methods: The special drug doses of 2023 found in the intravenous drug dispensing center of the children’s hospital were collected, the most representative drugs were sorted out, the corresponding reasonable dispensing methods were discussed, and the dispensing of special dosage drugs was standardized. Results: Among the special fractional doses collected, 76.67% of the insulin injections were ordered with a dose of 2 units, and 23.33% were ordered with a dose of 5 units. The minimum dose used for aminophylline injection was 0.008 g, and the doctor’s order for the dose not exceeding 0.02 g accounted for 60.61% of the annual doctor’s order. The minimum dose of heparin sodium injection was 250 units, accounting for 51.77% of the annual doctor’s prescribed dose. Conclusion Unifying the dispensing method of special dose drugs during intravenous infusion medication in children can ensure the accuracy of drug dispensing, improve the quality of special dose drugs, and ensure the safety and effectiveness of drug use in children.