SODIUM CHLORIDE (INHALANT) 7 % NEBULIZER SOLUTION
Report
- Report Number
- MW5154078
- Event Type
- Injury
- Date Received
- April 22, 2024
- Date of Event
- March 26, 2024
- Report Date
- April 18, 2024
- Manufacturer
- NEPHRON SC, INC.
- Product Code
- CAF
- Adverse Event
- Yes
- Report Source
- Voluntary report
- Reporter Location
- US
- Reporter Occupation
- PHARMACIST
- Health Professional
- Yes
Narratives
THE PATIENT PRESENTED TO THE EMERGENCY DEPARTMENT ON 3/23 WITH ACUTE ON CHRONIC RESPIRATORY FAILURE WITH HYPOXIA AND HYPERCAPNIA. THE PATIENT WAS ADMITTED ON BROAD SPECTRUM ANTIBIOTICS, STEROIDS, AND SCHEDULED NEBULIZERS. ON 3/26 AT 2028, THE PATIENT RECEIVED 4 ML OF 7% SODIUM CHLORIDE SOLUTION FOR INHALATION. SHORTLY AFTER ADMINISTRATION, THE RESPIRATORY THERAPIST REPORTED THE PATIENT WAS "UNABLE TO BREATHE" WITH OXYGEN SATURATIONS DOWN TO 40% AND A HEART RATE IN THE 140S. THE PATIENT WAS THEN INTUBATED AND TRANSFERRED TO THE ICU (INTENSIVE CARE UNIT). THE MEDICATION WAS NOT USED AGAIN, AND THE PATIENT WAS EXTUBATED ~1000 ON 3/27. COPD (CHRONIC OBSTRUCTIVE PULMONARY DISEASE)/ASTHMA WITH ACUTE EXACERBATION, PNEUMONIA. SIGNIFICANT PRIOR TO ADMISSION MEDICATIONS INCLUDE FUROSEMIDE, METOPROLOL, MIRTAZAPINE, ALBUTEROL, AS NEEDED OXYCODONE, AND TRELEGY ELLIPTA. THE PATIENT HAD NO SIGNIFICANT ALLERGIES AT THE TIME OF ADMISSION.
Devices
| Seq | Brand | Generic | Product Code | Manufacturer | Model | Lot | UDI-DI |
|---|---|---|---|---|---|---|---|
| 1329942 | SODIUM CHLORIDE (INHALANT) 7 % NEBULIZER SOLUTION | NEBULIZER (DIRECT PATIENT INTERFACE) | CAF | NEPHRON SC, INC. |
Patients
| Seq | Age | Sex | Outcome | Treatment |
|---|---|---|---|---|
| 1 | NA | Female | Other| L| H| R | ACETAMINOPHEN.| ASPIRIN 81 MG CHEWABLE TABLET.| AZITHROMYCIN 250 MG TABLET.| CEFTRIAXONE 2G INJECTION.| FERROUS SULFATE 325 MG TABLET.| FLUOXETINE 40 MG CAPSULE.| FLUTICASONE-UMECLIDINIUM-VILANTEROL (TRELEGY ELLIPTA) 100-62.5-25 MCG/ACT INHALER.| FOLIC ACID 1 MG TABLET.| FUROSEMIDE 40 MG TABLET.| IPRATROPIUM-ALBUTEROL (DUONEB) 0.5-2.5 MG/3ML NEBULIZER SOLUTION. | OXYCODONE 5 MG TABLET.| PHILLIPS COLON HEALTH CAPSULE. | PREDNISONE 40 MG TABLET. | SUBQ HEPARIN 5000 UNITS.| THIAMINE 100 MG TABLET. |