BEUDAMED
    FDA Adverse Event Injury Summary report: N

    SALINE FLUSH - SYRINGE 10ML

    MDR report key: 1003428 · Received February 25, 2008

    Report

    Report Number
    MW5005671
    Event Type
    Injury
    Date Received
    February 25, 2008
    Date of Event
    January 17, 2008
    Report Date
    February 25, 2008
    Manufacturer
    B.BRAUN MEDICAL
    Product Code
    NGT
    Adverse Event
    Yes
    Report Source
    Voluntary report
    Reporter Location
    WV, US
    Reporter Occupation
    NURSE

    Narratives

    Description of Event or Problem · 1

    PERIPHERAL HEPLOCK STARTED IN ER ON OVERDOSE PATIENT. THEY GAVE HIM SEVERAL DIFFERENT IV PUSH MEDS DURING HIS STAY THERE. HE WAS ADMITTED AND STARTED ON PROPHYLACTIC ANTIBIOTIC. HAD LOW GRADE TEMP IN 2008 AND BLOOD CULTURES WERE POSITIVE FOR SERRATIA MARCESCENS. ABOUT 2 DAYS LATER, HIS TEMP WENT TO 103 DEGREE AND HE HAD WARMTH, REDNESS & SWELLING AT IV SITE IN FOREARM. DOSE OR AMOUNT: 10 ML, FREQUENCY: AFTER EACH MED, ROUTE: IV. DATES OF USE: 2008. DIAGNOSIS OR REASON FOR USE: OVERDOSE-REVERSAL MEDS GIVEN IV. EVENT ABATED AFTER USE STOPPED OR DOSE REDUCED? YES.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 SALINE FLUSH - SYRINGE 10ML NONE NGT B.BRAUN MEDICAL ALL LOTS

    Patients

    Seq Age Sex Outcome Treatment
    1 YR Hospitalization