BEUDAMED
    FDA Adverse Event Injury Summary report: N

    BAXTER

    MDR report key: 521924 · Received April 5, 2004

    Report

    Report Number
    MW1031760
    Event Type
    Injury
    Date Received
    April 5, 2004
    Date of Event
    March 28, 2004
    Report Date
    April 5, 2004
    Manufacturer
    *
    Product Code
    FRN
    Product Problem
    Yes
    Report Source
    Voluntary report
    Reporter Location
    NM, US
    Reporter Occupation
    RISK MANAGER

    Narratives

    Description of Event or Problem · 1

    STARTED INFUSION OF K+ AT 0840. PUMP SET AT 100CC AN HOUR AT 100CC IN THE BAG. TEN MINUTES LATER AT 0850, IT WAS NOTICED THAT BAG OF K+ WAS EMPTY. THE PUMP SAID K+ WAS GOING AT 100CC PER HOUR AND THAT THERE WAS 89.9 MLS LEFT IN THE BAG. STOPPED INFUSION IMMEDIATELY. PT PUT ON MONITOR AND OXYGEN. PT HAD INVERTED T-WAVES AND TRANSFERRED TO HIGH LEVEL OF CARE. PUMP WAS SEQUESTERED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 BAXTER IV PUMP FRN * COLLEAGUE *

    Patients

    Seq Age Sex Outcome Treatment
    1 71 YR Hospitalization