Mother says 7-year-old son overdosed on prescription painkillers
http://www.wbrc.com/story/33132110/mother-says-7-year-old-son-overdosed-on-prescription-painkillers
Liquid Oxycodone comes into two strengths 1 mg/ml and 20mg/ml .. and the latter is normally reserved for end of life cancer/pain pts and it is administered under the tongue… which causes it to “kick-in” quicker. With the Pharmacist’s statement “Because typically it is a medication that was reserved for a hospice-type treatment.” Which would suggest that the prescriber wrote for the 20mg/ml strength which would probably be lethal for a opiate naive pediatric pt. It was also stated that the prescribed dose was 50mg – which would also suggest that the dose was 2.5 ml and using the appropriate strength of Oxycodone… would have given this kid a 2.5mg dose… which depending on the child’s weight… could be an appropriate dose. IMO… especially with the Pharmacist making that statement… SCREWED UP and didn’t do her job.
NASHVILLE, TN (WSMV) –
One mother said her son accidentally overdosed after he was over-prescribed an opioid pain medication.
Shelley Slater expected her son would be given medicine at the hospital. She never anticipated her then 7-year-old son would overdose.
“I was so scared I was numb,” Slater said, recalling the episode from 2012.
Slater’s son, Ethan, went to the Monroe Carell Jr. Children’s Hospital at Vanderbilt for a tonsillectomy. When he had an allergic reaction to hydrocodone, doctors wrote him another prescription.
Slater said she’ll never forget when she handed the script to a pharmacist at Walgreens.
“She told me that it was somewhat uncommon to have this even in stock,” Slater said. “Because typically it is a medication that was reserved for a hospice-type treatment.”
The prescription was for liquid oxycodone. The Channel 4 I-Team obtained a copy of the script, which displays a warning.
The message states the dose prescribed to Ethan—300 mg/day—exceeded the higher range of recommended dosage by nearly 3.5 times.
The recommended range on Ethan’s script fell between 2.655 mg/day and 84.96 mg/day.
Slater was instructed to administer 50mg to Ethan every four hours.
She said by the time Ethan took his second dose, something had gone terribly wrong.
Ethan was again rushed to Vanderbilt.
What happened next is detailed in her lawsuit against the hospital and Walgreens.
Documents state Ethan was suffering from respiratory depression and cardiac arrest.
Slater said her son had to be treated with Narcan, a drug that addicts are sometimes given, to reverse the overdose.
Ethan regained consciousness the next day.
“It is not a feeling I wish upon anyone,” Slater said. “It’s devastating, and I was fortunate I was able to have my child back.”
“Why in this world wasn’t this prescription checked?” asked Ed Gross, an attorney representing Slater. “Why wasn’t something done?”
For this specific drug, the manufacturer issued a warning stating errors in dosing could result in overdose or even death.
Sheila McMorrow is a doctor who specializes in pediatric emergency medicine at TriStar Centennial Medical Center in Nashville. She said warnings that monitor dosages are to be heeded.
“It’s very important,” McMorrow said. “I think anyone can make a quick mistake if they’re putting something in the computer and that’s what the safeguards are kind of built for.”
Slater said over time, she noticed changes in Ethan.
She claims Ethan now suffers from fatty liver disease, gastrointestinal problems and assorted behavioral issues.
In court filings, attorneys for Vanderbilt denied their acts caused Ethan’s problems, even though they acknowledge, “Ethan Slater apparently suffered some short-term consequences of having received too much oxycodone.”
Walgreens also rebuked the allegations, denying they filled a “prescription of a lethal dose,” and were negligent in providing reasonable medical care.
But Slater said she plans to continue fighting for her son.
“I just want him to be happy and healthy and we’re doing everything we can every day to do that,” she said.
Attorneys for Vanderbilt and Walgreens declined to comment on this story, citing ongoing legal matters.
Gross said he believes a mediation is scheduled for November.
They are asking for $750,000 from each defendant.
Like this:
Like Loading...
Filed under: General Problems | 4 Comments »