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Heparin Overdose a Known Risk

URGENT HEPARIN OVERDOSE INFORMATION: Actor Dennis Quaid's newborn twins were reportedly the victims of a medical error involving an overdose of Heparin while at Cedars-Sinai Medical Center in California. The twins and one other infant were reportedly given 1,000 times the intended dose of Heparin—the 10,000 units/mL vial of Heparin instead of the 10 units/mL vial. In 2006, three infants died after the same mistake was made in an Indiana hospital. The two Heparin products both had blue labeling:

These deaths prompted the FDA to notify health professionals of the potential for life-threatening medication errors involving the two Heparin products:
  • Heparin Sodium Injection 10,000 units/mL
  • HEP-LOCK U/P 10 units/mL
Even after the FDA warned hospitals of this potential for error, Heparin overdoses are still occurring. Pritzker | Ruohonen, a nationally-recognized product liability law firm, is accepting cases involving injury and death as a result of a Heparin overdose. If your child has been injured or has died after the receiving Heparin, you may have a case against the manufacturer of the Heparin product, the hospital where the medication error occurred (in this case Cedars-Sinai Medical Center), and others. For Heparin overdose lawsuit information, contact Pritzker | Ruohonen toll free at 1-888-377-8900 or fill out the firm's online consultation form located on the right-hand side of this page.

Attorney Fred Pritzker has over 30 years of product liability and medical malpractice lawasuit experience and has recovered millions for clients. In addition to his many other accomplishments, he is a member of the Million Dollar Advocates Forum and a Certified Trial Specialist. In recognition of his accomplishments, he has been selected by other lawyers for inclusion in The Best Lawyers in America. Pritzker | Ruohonen is a national law firm and represents clients throughout the United States.

Posted November 2007.

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Medication Errors: Drug Labels Used for Clinical Trials

The way drug manufacturers label drugs used for clinical trials (“investigational drugs”) can lead to medication errors. The following is from the November 2007 Institute for Safe Medication Practices newsletter:
  1. Many investigational drugs are labeled using a very small font size; in most cases, a magnifying glass is needed to read the information (see Figure 2 in the PDF version of the newsletter). The same font size is often used throughout the label, and there is little use of bold type, color, tall-man letters, or other strategies to help differentiate products. Thus, drug packages look remarkably similar, which can lead to confirmation bias when products are selected from the shelf.
  2. The labels may not include the drug strength or concentration, even if there are multiple drug strengths/concentrations in use.
  3. If the drug is involved in an international study, the directions may be printed in two or more languages on the same label. Labels may also include error-prone abbreviations or dose designations (e.g., 5IU, which looks like 51 Units, or trailing zeros [1.0 mg]).
If you are taking an investigational drug (a drug that is part of a drug trial or clinical trial) and there are adverse affects, you need to contact an attorney immediately. If you retain our law firm to represent you, one of our experienced lawyers will review your medical records and other records relating to the clinical trial to determine if you have a case against the company sponsoring the clinical trial and others. To contact Pritzker | Ruohonen, please call toll-free at 1-888-377-8900 or submit the firm’s online consultation form found at the top-right corner of this page.

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Medication Errors: Drug Names Used for Drug Trials


The way drug manufacturers identify drugs used for drug trials (“investigational drugs”) can lead to medication errors:
  1. If investigational drugs are identified using a number preceded by an abbreviation of the sponsoring company’s name (e.g., BMS104579 for a drug sponsored by Bristol-Myers Squibb), organizations that participate in multiple drug trials sponsored by the same company could confuse one drug with another sponsored by that company.
  2. If a letter/number designation on an investigational drug is too long (some are up to 25 characters long) or are described with multiple words, pharmacies may be forced to truncate the code name due to field size limitations.
  3. If a letter-number-code (see above) is used and then the investigational drug gets a generic or common name, the code name may remain on the product label while the research team refers to the drug by its new generic name. This could cause confusion on the part of the person administering the medication.
  4. If the sponsoring company is part of a merger or the sponsoring company or the product is sold, the code name could change—the abbreviation at the beginning of the code might change to the abbreviation of the new sponsoring company.
If you are taking an investigational drug (a drug that is part of a drug trial or clinical trial) and there are adverse affects, you need to contact an attorney immediately. Drug companies are not going to be forthcoming with medical records and other information. It will take what is called “discovery” to get the records needed to determine if there was a medication error. If there was a medication error, you have the right to sue all responsible parties for compensation. Please contact a medical error litigation attorney at Pritzker | Ruohonen for a free consultation. Our toll-free number is 1-888-377-8900. If you call after hours, please leave a message for the on-call attorney, who will return your call as soon as possible, usually within a few hours.

Information in the November 2007 Institute for Safe Medication Practices newsletter was used for this article.

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Medication Error: Insulin-Heparin Mix-up

Insulin-heparin mix-ups have been reported in U.S. hospitals. What happens is nurses grab a vial of insulin thinking it is heparin and add it to an I.V. solution. As reported in the November issue of Nursing, in at least 2 cases infants died after receiving insulin mistakenly added to parenteral nutrition (PN) infusions.

When an infant is given insulin instead of heparin, the baby may experience hypoglycemia, also called low blood sugar. Hypoglycemia occurs when a person's blood glucose (blood sugar) level drops too low to provide enough energy for the person's body's activities. Severe hypoglycemia can cause an infant to lose consciousness.

We encourage parents to be advocates for their hospitalized children. This includes knowing what medications the child is supposed to be getting and making sure that the child is indeed getting those medications in the correct dosages.

However, when something like the insulin-heparin medication error happens, parents need to understand that it is not their fault. It is the hospital’s responsibility to give patients the correct medication. Because evidence in a medication error case needs to be quickly gathered and preserved, it is important to contact a lawyer as soon as possible. To contact a lawyer at Pritzker | Ruohonen, please call toll-free at 1-888-377-8900 or submit the firm’s online consultation form on the right-hand corner of this page.

Reference: Michael R. Cohen, "High-alert mix-up," Nursing (November 2007), Volume 37, No. 11: 12.

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