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Cases & Commentaries
- Web M&M
Jennifer Morris and Marie Bismark, MD; September 2016
Assuming its dosing was similar to morphine, a physician ordered 4 mg of IV hydromorphone for a hospitalized woman with pain from acute pancreatitis. As 1 mg of IV hydromorphone is equivalent to 4 mg of morphine, this represented a large overdose. The patient was soon found unresponsive and apneic—requiring ICU admission, a naloxone infusion overnight, and intubation. While investigating the error, the hospital found other complaints against that particular physician.
Journal Article > Commentary
McDonald A, Leyhane T. Nurs Manage. 2005;36:26-32.
Journal Article > Study
van Noord I, Eikens MP, Hamersma AM, de Bruijne MC. Qual Saf Health Care 2010;19:e21.