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ABACUS VERSION 2 SOFTWARE Adverse Event — Injury (MDR MW5005566)

ABACUS VERSION 2 SOFTWARE Adverse Event — Injury (MDR MW5005566) is one of 9,000 device adverse events in the DeviceEvents dataset. Key details — Device: ABACUS VERSION 2 SOFTWARE; Generic name: BAXA MICRO/MACRO COMPOUNDER; Manufacturer: BAXA.

DeviceABACUS VERSION 2 SOFTWARE
Generic nameBAXA MICRO/MACRO COMPOUNDER
ManufacturerBAXA
Report numberMW5005566
Event typeInjury
Product problemY
Date received2008-02-18
NarrativeRECEIVED CALL FROM THE HOSPITAL, ASKING IF AN ERROR IN COMPOUNDING HYDRATION COULD HAVE OCCURRED. PT'S MAGNESIUM LEVEL WAS 2.1 IN 2008, AND ON TWO DAYS LATER 9.1. THE ORDER WAS FOR D5/0.2 % SODIUM CHLORIDE WITH KPHOS 5MSQ/L + 1200 MG MGSO4/L AT 100 CC/HR CONTINUOUSLY. THE COMPOUNDER DID NOT RECOGNIZE THE MGSO4 AS A SALT AND CALCULATED THE MAGNESIUM AS AN ION. THE RESULTANT ERROR CAUSED AN OVER INF
SourceopenFDA MAUDE (device adverse events)

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