Portal de Periódicos da CAPES

El control de la temperatura de medicamentos termolábiles

2014; Volume: 17; Issue: 7 Linguagem: Espanhol

2660-986X

Cano Íñiguez, Edgardo Íñiguez,

Patient Safety and Medication Errors

espanolmolabiles es un tema ampliamente conocido por los profesionales sanitarios, el problema no pierde actualidad y a lo largo del tiempo se han venido notificando deficiencias, en ocasiones muy graves, tanto en lo referente a la inadecuada o poco cuidadosa forma de almacenamiento y conservacion como en el nivel de formacion del personal responsable de la cadena del frio. En la practica diaria existen muchos incidentes que pueden rompen dicha cadena (fallo electrico, averia del frigorifico, puerta del frigorifico mal cerrada, multiples aperturas de la puerta del mismo, medicamentos congelados por estar pegados a las paredes, alteracion accidental del termostato, equivocaciones de almacenaje), de cuyas consecuencias sobre la salud hay demostrados numerosos efectos adversos, desde reacciones locales, abscesos, episodios sincopales, etc., relacionados con una inadecuada refrigeracion. Tambien estan documentados elevados costes economicos por la reposicion de medicacion por la rotura de la cadena de frio. El conocimiento de la estabilidad de medicamentos termolabiles ha de constituir un tema de especial interes para todos los profesionales sanitarios y, de modo especial, para los profesionales de la Enfermeria, dado que en muchas ocasiones tienen encomendado el control del mantenimiento de las medicaciones. El objetivo del presente trabajo es ofrecer un protocolo de control de temperatura de la medicacion termolabil que contribuya a garantizar la correcta conservacion de los medicamentos termosensibles. EnglishEven though the importance of stability in thermolabile medications is a subject widely known by healthcare professionals, nowadays the problem has not lost its interest, and deficiencies have been notified over time, which have been occasionally very severe, both regarding the inadequate or careless way of storage and preservation, and the level of training for the staff responsible for the cold chain. In daily practice, there are many incidents that can breach the cold chain (electric failure, fridge breakdown, fridge door not well closed, fridge door being opened too many times, frozen medications because they have been placed up against the walls, accidental alteration of the thermostat, mistakes in storage), and their consequences on health have caused several demonstrated adverse effects, including local reactions, abscesses, syncopal episodes, etc., associated with an inadequate freezing. High economic costs have also been documented due to the need to replace medications because of a cold chain breach. Knowledge about the stability of thermolabile medications must become a matter of special interest for all healthcare professionals and, particularly, for Nursing professionals, because the control of medication maintenance is often assigned to them. The objective of this article is to offer a protocol regarding temperature control for thermolabile medication, which will contribute to guarantee the adequate preservation of thermosensitive medications.