Covid 19 related- lack of nxstage/other dialysate solutions has led our institution to use products we have not used in the past.
One such product is nx stage dialysate fluids with lactate 5 liter bags.
Item was ordered/used in the following situation: patient has liver failure, was found to have a rising lactate and abdominal pain with concern for possible ischemic bowel.
Received ct scan to assess which was benign.
Found to have been receiving dialysate containing lactate through night.
Patient received unnecessary scan.
Medication administered to or used by the patient: yes.
(b)(6).
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