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Patient died from 8GMs of Dilantin



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No. 10
from fultzymom
Old Jan 26, 2007, 05:15 AM

Default Re: Patient died from 8GMs of Dilantin
I have never given IV Dilantin but even to me that seems like a huge dose. Was she afraid to question the Drs order or did it not even occur to her? What I do not uderstand is why the doctor is being held accountable? I have never had a doctor write an order and then watch me give the medication to make sure that I have given the right med, dose, ect. Does not seem fair to me.
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No. 11
from Tweety
Old Jan 26, 2007, 05:24 AM

Default Re: Patient died from 8GMs of Dilantin
Originally Posted by fultzymom View Post
I have never given IV Dilantin but even to me that seems like a huge dose. Was she afraid to question the Drs order or did it not even occur to her? What I do not uderstand is why the doctor is being held accountable? I have never had a doctor write an order and then watch me give the medication to make sure that I have given the right med, dose, ect. Does not seem fair to me.
The 800 mg the MD ordered is not a huge dose for a seizing patient. Loading doses are often up to 1000 mg. I wouldn't have questioned the MD or batted an eye at this ordered dose.

8000 mg as we are reading is a lethal dose. I can't fathom drawing up that much Dilantin. I hate to judge, the nurse must be devastated.

There must be more to the story that we are reading about the MD because calling a family on a death in the ER doesn't seem unusual. Unless there is a specific written policy that it's the chaplin's job, or some other policy he/she broke.
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No. 12
from GardenDove
Old Jan 26, 2007, 05:30 AM

Default Re: Patient died from 8GMs of Dilantin
The article stated that the dismissal of the doc was part of the deal with the husband of the dead woman. I can't imagine getting 32 vials of any medication without bells going off in my head louder than a foghorn. That's a basic in med administration.
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No. 13
from GardenDove
Old Jan 26, 2007, 05:32 AM

Default Re: Florida ER nurse kills pt with dilantin overdose
Originally Posted by Angie O'Plasty, RN View Post
What's weird to me is that after nine years of nursing, she made a mistake like that? Dilantin IV is fairly common down here.
That's what I was thinking.
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No. 14
Old Jan 26, 2007, 06:11 AM

Default Re: Patient died from 8GMs of Dilantin
The two threads on same subject merged. ENJOY!
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No. 15
Old Jan 26, 2007, 06:56 AM

Default Re: Patient died from 8GMs of Dilantin
hey i all i have to say to that is DUH!! how in the world can you make an error like that? or not question the doctor about it? the doctor shouldnt have been fired. the nurse however thats something else.
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No. 16
from santhony44
Old Jan 26, 2007, 07:05 AM

Default Re: Patient died from 8GMs of Dilantin
Originally Posted by GardenDove View Post
The article stated that the dismissal of the doc was part of the deal with the husband of the dead woman.
In other words, the doc's being hung out to dry to keep the family from suing the hospital? I suspect he'll win his wrongful termination suit. It doesn't sound as if the error was his.

I can't imagine what the nurse was thinking not to have noticed that there was something odd about the dose. Dilantin is still a pretty common drug, surely the nurse had given it before!

What a thing to have to live with the rest of your life.
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No. 17
from nrsang97
Old Jan 26, 2007, 07:18 AM

Default Re: Patient died from 8GMs of Dilantin
I cannot imagine even drawing up that much dilantin without bells going off in my head. 8 GRAMS come on. I feel for the pt husband and family. I think the doc did nothing wrong in this case.
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No. 18
Old Jan 26, 2007, 07:44 AM

Default Re: Patient died from 8GMs of Dilantin
she clearly wasnt familiar with IV dilantin. first rule if u r not familiar with a drug is to look it up. i know everyone is so busy, but it takes a few seconds to look it up. i have given drugs IV in emergency situations (ie codes) that i was not familiar (and therefore didnt have time to look up) with but was being told "give it!" so i would repeat the dose out loud and ask how fast/slow etc. but to pull up 32 vials, seems like she couldve had an extra 30 seconds to look up the drug. sad. she'll carry that around forever and the family will too.
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No. 19
from fultzymom
Old Jan 26, 2007, 08:31 AM

Default Re: Patient died from 8GMs of Dilantin
Originally Posted by Tweety View Post
The 800 mg the MD ordered is not a huge dose for a seizing patient. Loading doses are often up to 1000 mg. I wouldn't have questioned the MD or batted an eye at this ordered dose.

8000 mg as we are reading is a lethal dose. I can't fathom drawing up that much Dilantin. I hate to judge, the nurse must be devastated.

There must be more to the story that we are reading about the MD because calling a family on a death in the ER doesn't seem unusual. Unless there is a specific written policy that it's the chaplin's job, or some other policy he/she broke.


I meant the 8000mg the nurse gave. What I meant was I can not believe that she did not question giving 8000mg of Dilantin. I could not imagine not questioning an order for 8000 mg of anything.
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