ISMP Medication Safety Alert! Acute care edition. 2021;26(13);1-2.
Koeck JA, Young NJ, Kontny U, et al. Paediatr Drugs. Epub 2021 May 8.
A 64-year-old woman was admitted to the hospital for aortic valve replacement and aortic aneurysm repair. Following surgery, she became hypotensive and was given intravenous fluid boluses and vasopressor support with norepinephrine. On postoperative day 2, a fluid bolus was ordered; however, the fluid bag was attached to the IV line that had the vasopressor at a Y-site and the bolus was initiated.
ISMP Medication Safety Alert! Acute Care Edition. April 22, 2021.26(8):1-5.
Parry C. The Pharmaceutical Journal. April 22 2021.