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October 2007 Legal Case Study

Failure to Give Family Proper Instructions Regarding TPN Therapy Administration - Potassium Chloride Administered Into Catheter - $10.5 Million Settlement.

The plaintiff, age twenty-three, was receiving TPN therapy at home under the guidance of the defendant healthcare providers.

The plaintiff’s treatment required the administration of potassium chloride through an intravenous catheter placed in her arm. Prior to administration of the medication the catheter line was to be cleaned with a saline solution. The nurse was unable to demonstrate the cleaning procedure during her instruction because the medication regimen had already been initiated at the time the potassium chloride syringes were delivered to the plaintiff’s home.

Later that evening, the plaintiff’s mother inadvertently mistook the potassium chloride syringe for the saline solution and directly administered the medication into the plaintiff’s catheter. The medication caused her to immediately go into cardiac arrest and suffer severe brain hypoxia. The plaintiff’s sister was present at the time of the incident and her father arrived shortly thereafter. All of the family members attempted to resuscitate the woman.

The plaintiff suffered brain damage which left her unable to provide basic care for her self. The plaintiff claimed that the defendant’s employees failed to provide adequate instructions for the potentially lethal medication.

According to a reporter, a $10.5 million settlement was reached. This included $1 million for the sister and parents for emotional distress.

With permission from Medical Malpractice Verdicts, Settlements & Experts; Lewis Laska, Editor, 901 Church St., Nashville, TN 37203-3411, 1-800-298-6288.

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