FDA Adverse Event Summary report: N

RENALYTE

MDR report key: 26680 · Received January 5, 1995

Report

Report Number
MW4000783
Date Received
January 5, 1995
Manufacturer
COBE RENAL CARE, INC.
Product Code
KPO
Adverse Event
Yes
Product Problem
Yes
Report Source
Voluntary report
Reporter Location
PA, US
Reporter Occupation
PHARMACIST

Narratives

Description of Event or Problem · 1

ON 3/9, AT 09:30 PT IS 1 1/2 HR INTO A HEMODIALYSIS SESSION AND COMPLAINS OF NAUSEA. BP 113/66, HR90. 09:40 PT IS BRIEFLY UNRESPONSIVE (3-5 SEC) 200 CC PSS BP 127/68 COMPLAINS OF CHEST PAIN, SOB. 10:15 ARREST NOTED, DIALYSIS D/C'D. CHEST PAINS CONTINUED TO UNRESPONSIVE. THE PT BECAME APNEIC AND A CODE CALL WAS PLACED. THE PT WAS ACCIDENTALLY GIVEN CALCIUM FREE DIALYSATE (2.5 MEQIL WAS ORDERED). SAMPLES OF CA GLUCONATE WERE GIVEN AND SYMPTOMS RESOLVED. "LOOK ALIKE" LABELING CONTRIBUTED TO EVENT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RENALYTE KPO COBE RENAL CARE, INC.

Patients

Seq Age Sex Outcome Treatment
1 *