Are 40,000 unit vials of heparin really needed?
(1) Problem: The total content in 4 mL vials of heparin (10,000 units/mL) may be mistaken as 10,000 units, not 40,000 units. The total volume is easily missed on the label. Errors could result in a serious overdose. Recommendation: Evaluate if your facility needs heparin vials that contains 40,000 units. When possible, stock only a 1 mL vial of heparin 10,000 units/mL. Topical lidocaine gel and mammography (5) Problem: Shortly after the release of findings from a study that used topical lidocaine to reduce discomfort during breast mammography, FDA issued an advisory to remind patients, healthcare professionals, and caregivers about potentially serious hazards—including death—associated with overuse of topical anesthetics. Recommendation: Warn staff and consumers to use topical anesthetics that contain the lowest possible amount of medication to relieve pain, apply it sparingly on unbroken, non-irritated skin, and avoid wrapping or covering the skin with any occlusive dressing or other
