BEUDAMED
    FDA Adverse Event Other Summary report: N

    HESPAN

    MDR report key: 1852952 · Received September 29, 2010

    Report

    Report Number
    MW5017649
    Event Type
    Other
    Date Received
    September 29, 2010
    Manufacturer
    B BRAUN
    Product Code
    KPE
    Report Source
    Voluntary report
    Reporter Location
    MO, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    NURSE THAT HE STARTED INFUSING A BAG OF HESPAN AT 0730 AND THAT THE BAG WAS HANGING NEXT TO THE NS MIV AND FREE-FLOWING IN. ONCOMING NURSE CHECKED IVS AND RATES WHEN CARE ASSUMED AND FOUND D 5 W WITH HEPARIN SODIUM 25,000 UNITS FREE-FLOWING INSTEAD OF HESPAN AT THE SITE HE INDICATED. APPROXIMATELY 100 CC REMAINED FROM A 500 CC BAG. THERE WAS NO HESPAN HANGING OR INFUSING ANYWHERE. INFUSION STOPPED, PTT DRAWN, NG RECONNECTED TO LOW INTERMITTENT SUCTION TO CHECK FOR BLEEDING, HESPAN STARTED WITH NEW TUBING AND DR. INFORMED. THE HESPAN AND HEPARIN HAVE EXTREMELY SIMILAR FONT AND FONT SIZE. IN ADDITION TO MOVING THE BAGS AWAY FROM EACH OTHER IN THE MEDICATION ROOM NURSE REQUESTED THAT COMPANY CHANGE THE FONT.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 HESPAN NONE KPE B BRAUN

    Patients

    Seq Age Sex Outcome Treatment
    1 HETASTARCH