BEUDAMED
    FDA Adverse Event Death Summary report: N

    ALARIS

    MDR report key: 3915366 · Received June 25, 2014

    Report

    Report Number
    3915366
    Event Type
    Death
    Date Received
    June 25, 2014
    Date of Event
    June 12, 2014
    Report Date
    June 25, 2014
    Manufacturer
    CAREFUSION 303, INC
    Product Code
    FRN
    Adverse Event
    Yes
    Report Source
    User Facility report
    Reporter Location
    TX, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    DEXTROSE 30% (D30) WITH 125 UNITS OF HEPARIN WAS ORDERED. THE PUMP WAS SET AT 8.2ML PER HOUR, HOWEVER, WITHIN 2 HOURS THE NURSE NOTED THE ENTIRE 250 ML BAG WAS GIVEN TO THE PATIENT. THE PATIENT'S BLOOD GLUCOSE WAS GREATER THAN 500.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    369737 ALARIS PUMP, INFUSION FRN CAREFUSION 303, INC 8015 *

    Patients

    Seq Age Sex Outcome Treatment
    1 1 DAY Death| H| R