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psnet.ahrq.gov/node/857258/psn-pdf
November 30, 2023 - case presumably received an intragastric balloon as a temporary and minimally invasive
therapy for weight … The dose of sugammadex used to reverse the neuromuscular block should be based on actual body weight … rather than ideal body weight.22 A standard 2 mg/kg dose would have been 306 mg for this 153 kg patient … The dose of sugammadex should be based on total rather than ideal body weight. … Pharmacokinetics of sugammadex dosed by actual and
ideal body weight in patients with morbid obesity
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psnet.ahrq.gov/node/49568/psn-pdf
September 01, 2008 - bilirubin, the infant was seen by a pediatrician three times in the next
6 days and experienced a 15% weight … The presence of
significant hyperbilirubinemia accompanied by a 15% weight loss at 6 days of life points … breastfeeding.(7) It typically occurs during the first week of life, and infants may present with weight … In "breastfeeding" jaundice, the infants may present with weight loss, dehydration, inadequate stool … • IBCLC follow-up after discharge to resolve nipple pain and ensure adequate infant weight gain and
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psnet.ahrq.gov/issue/comparing-safety-performance-and-user-perceptions-patient-specific-indication-based
December 18, 2019 - five using a prototype decision support that integrated patient-specific information such as age and weight … ordering tool could be especially beneficial for pediatric populations where many medication doses are weight-based
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psnet.ahrq.gov/issue/errors-and-error-producing-conditions-during-simulated-prehospital-pediatric-cardiopulmonary
August 25, 2021 - Most notably, medication errors related to the correct weight-based dosing of epinephrine were common
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psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
January 01, 2021 - or non-weight-based
dosing
15
Vasopressor Administration & Monitoring (3)
• Dosing and titration … or non-weight-based dosing:
16
Table 1: Norepinephrine Dosing
Initial Dose Typical Dosage Range … Weight-based Dosing 0.05-0.15 mcg/kg/minute 0.05 to 0.4 mcg/kg/minute
Non-weight-based Dosing 5-15 … doses while medical teams prefer
non‐weight‐based units
25
Best Practices in Management of Multiple … Utilize a single dosing strategy, either weight or non-weight based
2.
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psnet.ahrq.gov/web-mm/weighing-surgical-safety
August 04, 2021 - Although he tried to lose weight many times, his body mass index remained 40 kg/m2 (normal is approximately … Likewise, weight loss prior to elective surgery is encouraged and may alleviate some comorbidities, but … most morbidly obese patients are unable to lose significant weight without bariatric weight loss surgery … placement of a tracheal tube by direct laryngoscopy is usually no more problematic than for a normal-weight … For each patient, calculation of various weight formulas (BMI, lean body weight, and ideal body weight
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psnet.ahrq.gov/node/45600/psn-pdf
September 01, 2018 - Using harm-based weights for the AHRQ Patient Safety
for Selected Indicators composite (PSI-90): does it affect
assessment of hospital performance and financial
penalties in Veterans Health Administration hospitals?
September 1, 2018
Chen Q, Rosen AK, Borzecki A, et al. Using Harm-Based Weights for the AHRQ Patien…
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psnet.ahrq.gov/issue/medication-errors-among-acutely-ill-and-injured-children-treated-rural-emergency-departments
December 13, 2013 - However, given the need for careful weight-based dosing of medications for pediatric patients, fast-paced … August 24, 2022
Pediatric weight errors and resultant medication dosing errors in the
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psnet.ahrq.gov/web-mm/always-check-muscle-twitch-residual-neuromuscular-block-after-removal-gastric-balloon
January 29, 2021 - The Case A 38-year-old female patient with a height of 65 inches (165 cm) and weight of 153 kg (body … case presumably received an intragastric balloon as a temporary and minimally invasive therapy for weight … The dose of sugammadex used to reverse the neuromuscular block should be based on actual body weight … The dose of sugammadex should be based on total rather than ideal body weight. … Pharmacokinetics of sugammadex dosed by actual and ideal body weight in patients with morbid obesity
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psnet.ahrq.gov/node/49606/psn-pdf
August 01, 2010 - Although he tried to lose weight many times, his body mass index remained 40 kg/m2 (normal is
approximately … Likewise,
weight loss prior to elective surgery is encouraged and may alleviate some comorbidities, … but most
morbidly obese patients are unable to lose significant weight without bariatric weight loss … placement
of a tracheal tube by direct laryngoscopy is usually no more problematic than for a normal-weight … For each patient, calculation of
various weight formulas (BMI, lean body weight, and ideal body weight
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psnet.ahrq.gov/periodic-issue/periodic-issue-454
September 25, 2024 - WebM&M Cases
Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy … Later, it was discovered that an incorrect weight was used to calculate her insulin drip rate, based … on a guessed weight provided by the patient upon admission. … Once her actual weight was used to adjust treatment, her DKA resolved rapidly within 12 hours. … discusses how human factors engineering and electronic health record (EHR) functionalities can optimize weight
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psnet.ahrq.gov/issue/retrospective-review-medication-dose-errors-pediatric-emergency-department-medication-orders
January 12, 2022 - After Attempted Suicide
September 27, 2023
The effect of documenting patient weight … April 24, 2018
Pediatric weight errors and resultant medication dosing errors in the
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psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_managing_complexity_in_diagnosis_-_slides_final.pptx
January 01, 2024 - vomiting, and she reported losing 100 pounds since her bypass surgery (i.e., several times the expected weight … The procedure appears to have had its intended effect: the patient lost a significant amount of weight … , although the rate of weight loss was more than intended or recommended. … presents with nausea, vomiting, and ongoing inability to tolerate oral intake with significant, rapid weight … problem representation is the same, new information has been added to the frame, including profound weight
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psnet.ahrq.gov/node/49586/psn-pdf
May 01, 2009 - that 48% standardized units/hr
for infusion pump programming, 23% used units/kg/hr, and 29% used both weight … - and non–weight-based
dosing. … smart IV pumps (computerized IV infusion pumps with dose-error–reduction
software [DERS]) with both weight … - and non–weight-based heparin selections had a four-fold higher
incidence of averted programming errors … or non–weight-based
dosing.
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psnet.ahrq.gov/issue/computerized-order-entry-limited-decision-support-prevent-prescription-errors-picu
January 31, 2018 - Hospitalized children are particularly vulnerable to medication errors due to the complexity of weight-based … However, when a decision support system for calculating weight-based dosages was added to the CPOE
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psnet.ahrq.gov/issue/multidisciplinary-approach-adverse-drug-events-pediatric-trauma-patients-adult-trauma-center
April 07, 2019 - View More
Related Resources
The effect of documenting patient weight … June 25, 2018
Pediatric weight errors and resultant medication dosing errors in the emergency
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psnet.ahrq.gov/node/49571/psn-pdf
October 01, 2008 - standard deviation scores (SDS) below the mean for her age (the third percentile
is –1.81 SDS), and her weight … Take-Home Points
Measuring a child and plotting his or her height and weight are essential routine tests … Growth retardation with excessive weight gain is pathological, and hypothyroidism is at the top of the … Stature for age and weight for age percentiles.
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psnet.ahrq.gov/web-mm/hidden-mystery
December 01, 2011 - Computerized tomography and magnetic resonance machines often have weight and circumference restrictions … In general, drug dosing in obese patients can be based on ideal body weight (IBW), total body weight … (TBW), or somewhere in the middle (IBW plus some percentage of the excess weight). … An empiric formula for the "somewhere in the middle" approach is Dosing Weight = IBW + 0.3(TBW-IBW). … Know the weight restrictions of local CT and MRI scanners.
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psnet.ahrq.gov/node/49474/psn-pdf
March 01, 2005 - Computerized tomography and magnetic resonance machines often have weight and
circumference restrictions … In general, drug dosing in obese patients can be based on ideal body weight (IBW), total body weight … (TBW), or somewhere in the middle (IBW plus some percentage of the excess weight). … An empiric formula
for the "somewhere in the middle" approach is Dosing Weight = IBW + 0.3(TBW-IBW). … Know the weight restrictions of local CT and MRI scanners.
-
psnet.ahrq.gov/issue/frequency-type-and-degree-potential-harm-adverse-safety-events-among-pediatric-emergency
October 19, 2022 - Variability Contributes to Medication Error During Patient Transport
July 31, 2024
Weight … August 9, 2023
The effect of documenting patient weight in kilograms on pediatric medication