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Abbreviation leads to heparin overdose

A tenfold overdose of heparin was given to a patient when the physician's written prescription contained an abbreviation for units which was mistaken for an extra zero. This made an 800 units/hour dose an 8,000 units/hour dose. The mistake was not noticed for four hours. An antidote was given and the patient had no long term effects.

Source: summary of medical news story as reported by US Pharmacist

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About: Abbreviation leads to heparin overdose

Date: 15 November 2004

Source: US Pharmacist


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