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Device Problem
Improper or Incorrect Procedure or Method (2017)
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Patient Problem
Tachycardia (2095)
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Event Type
Injury
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Manufacturer Narrative
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Should additional relevant information become available, a supplemental report will be submitted.
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Event Description
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A patient experienced an over infusion of norepinephrine with use of an unknown access set which resulted in supraventricular tachycardia.It was reported that the medication was discontinued; however, the medication bag was left hanging on the intravenous pole, the tubing was left connected to the patient and in the pump.It was further reported, a nurse "utilizing interoperability to infuse an antibiotic inadvertently scanned the channel that had the discontinued the norepinephrine infusion".This resulted in the norepinephrine infusion restarting, and the patient received 75 ml from the 4 mg/250 ml bag over 45 minutes.The patient required medical treatment to resolve the issue.No additional information is available.
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Manufacturer Narrative
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The device was not returned, and the lot number is unknown; therefore, a device analysis could not be completed.Should additional relevant information become available, a supplemental report will be submitted.
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Search Alerts/Recalls
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