SUCCESSFUL REVIVAL OF CARDIAC ARREST PATIENT FOLLOWING DRUG ERROR--CASE REPORT

Akshaya kumar Das, Meenakshi Kumar

Abstract


Medication /Drug errors   can happen in hospital or out of hospital practice and are more frequent among the beginners starting with their health care practice. The untoward reactions can vary from mild to fatal. The common causes of Medication errors are miscommunication regarding drug dilution, route and speed of administration, confusion over similar looking labels on drug ampoules etc.

   We present here a case of drug error, who suffered cardiac arrest due to rapid intravenous injection of Vitamin K but revived with prompt cardiopulmonary resuscitation. He recovered fully, so as to undergo surgical closure of jejunostomy for which he was admitted.

 Drug error could be avoided with   close loop communication, clear instruction and paying full attention to the drugs while administrating them to the patients. The health care workers should also have a clear understanding about the patient’s pathophysiology while giving medication.

Keywords


VITAMIN K, DRUG ERROR, CARDIAC ARREST

Full Text:

PDF

References


Ferner R, Aronson J. Clarification of Terminology in Medication Errors. Drug Safety. 2006;29(11):1011-1022.

Aronson J. Medication errors: definitions and classification. British Journal of Clinical Pharmacology. 2009;67(6):599-604.

Aronson J. Medication errors: what they are, how they happen, and how to avoid them. QJM. 2009;102(8):513-521.

Goulet O, Ruemmele F. Causes and management of intestinal failure in children. Gastroenterology. 2006 Feb 1;130(2):S16-28.

EVENSON A, FISCHER J. Current Management of Enterocutaneous Fistula. Journal of Gastrointestinal Surgery. 2006;10(3):455-464.

Nightingale J. The medical management of intestinal failure: methods to reduce the severity. Proceedings of the Nutrition Society. 2003;62(3):703-710.

Hanna S, Macintyre I. THE INFLUENCE OF ALDOSTERONE ON MAGNESIUM METABOLISM. The Lancet. 1960;276(7146):348-350.

Aronson KJ. Meyler's Side Effects of Cardiovascular Drugs. Amsterdam ; Boston: Elsevier; 2009:449-556.

Hoffman R, Nelson L, Howland M, Lewin N, Flomenbaum N, Goldfrank L. Goldfrank's manual of toxicologic emergencies. 10th ed. New York, N.Y: McGraw-Hill Medical; 2015.

Makris M, Van Veen J, Tait C, Mumford A, Laffan M. Guideline on the management of bleeding in patients on antithrombotic agents. British Journal of Haematology. 2012;160(1):35-46.

Makris M, van Veen J, Maclean R. Warfarin anticoagulation reversal: management of the asymptomatic and bleeding patient. Journal of Thrombosis and Thrombolysis. 2009;29(2):171-181.

Holbrook A, Schulman S, Witt DM, Vandvik PO, Fish J, Kovacs MJ, Svensson PJ, Veenstra DL, Crowther M, Guyatt GH. Evidence-based management of anticoagulant therapy: antithrombotic therapy and prevention of thrombosis: American College of Chest Physicians evidence-based clinical practice guidelines. Chest. 2012 Feb 1;141(2):e152S-84S.


Refbacks

  • There are currently no refbacks.