A painful patient who was sensitive to aspirin went to the emergency department. The attending doctor learned about it and recorded it in the computer system. However, the patient was subsequently prescribed the same type of anti-inflammatory and painkiller, which caused allergic and uncomfortable symptoms.
The Hospital Authority pointed out that it believed that the medical staff did not have a relationship between the two drugs and reminded employees to check for cross-allergies.
Some pharmacists said that after taking the medicine, patients with allergies to related drugs may have skin sensitivity, swelling of the mouth and face, and severe breathing difficulties, sudden drop in blood pressure and even death.
The latest issue of the Hospital Authority's "Risk Bulletin" pointed out that the patient went to the Accident and Emergency Department for medical treatment due to physical pain. At that time, the Accident and Emergency Department doctor in charge of the consultation had clearly recorded the patient's sensitivity to aspirin in the clinical information management system. , And also injected Tramadol injections for pain relief.
However, the patient's pain continued, and the patient was subsequently prescribed Ketorolac, an analgesic injection of the same type as aspirin. The patient had no severe symptoms and was in stable condition.
Cui Junming said, "If patients are sensitive to aspirin, they will all be sensitive to Ketorolac." (Photo by Gao Zhongming)
Cui Junming, president of the Hong Kong Society of Hospital Pharmacists, said that both aspirin and Ketorolac are non-steroidal anti-inflammatory analgesics, and both have anti-inflammatory, analgesic and fever-reducing effects. "If patients are sensitive to aspirin, they will all be sensitive to Ketorolac" and vice versa. Of course, doctors should not prescribe Ketorolac to patients.
He said that sensitive people may experience swelling of the face, mouth, and skin rashes after taking the medicine. Stop the treatment with sensitive medicines and prescription antihistamines. Severe allergies may cause swelling of the throat, difficulty breathing, rapid drop in blood pressure and even death. Adrenaline should be provided immediately to help patients expand their trachea and raise blood pressure.
The hospital currently has an artificial intelligence system to remind medical staff that when a patient is found to have a history of similar allergies, the system will pop up a warning, "Ask you the true mime."
The Hospital Authority stated that it would remind colleagues to check patients for cross-allergies. If employees have any questions, they should seek assistance from senior colleagues or pharmacists.
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