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Model Number 383400 |
Device Problem
Adverse Event Without Identified Device or Use Problem (2993)
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Patient Problem
Hyperglycemia (1905)
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Event Date 09/30/2021 |
Event Type
Injury
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Manufacturer Narrative
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The incident sample has been requested but to date has not been received for evaluation.If the sample is received, or if additional information pertinent to the incident is obtained a follow-up report will be submitted.As part of our manufacturing process, all device history records are reviewed and approved by quality, prior to release of product.
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Event Description
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The customer reported that an error with the feeding pump occurred.The registered nurse noticed that the patient was receiving his tube feedings at a higher rate than ordered.Upon the nurse's previous assessments, the patient was receiving 45ml/hr as ordered.When the error was noticed at around 0600, the patient was receiving 200ml/hr.The feeding was held, residuals were checked and were 500ml, and blood glucose was also checked.The icu nurse and physician were notified.Orders were received for lantus and lispro for one-time doses.
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Search Alerts/Recalls
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