مرگ بیمار مبتلا به آرتریت روماتوئید در پی مصرف بیش از حد متوترکسات بر اثر اشتباه کادر پزشکی
کد: G-1090
نویسندگان: Alireza Ghassemi Toussi © ℗
زمان بندی: زمان بندی نشده!
دانلود: دانلود پوستر
خلاصه مقاله:
خلاصه مقاله
Introduction: A young man is being treated with methotrexate due to advanced rheumatoid arthritis. The doctor prescribes 3 tablets of 2.5 mg per week. The patient receives the drug. The pharmacist just draws 3 lines on the medicine box without paying attention to the prescription and the patient's understanding, and just writing 3 times(3lines). Method and Material: The patient used 3 pills a day and returned after about 5 days with nausea and then gum ulceration is observed. In the laboratory examination massive thrombocytopenia and leukopenia was seen. The patient is immediately treated with folinic acid and other necessary treatment But unfortunately, he died after a few day. Results : What draws attention in this case is that despite the level of literacy of the patient, it is necessary for the doctor and the pharmacist to fully understand the use of the drug for the patient and his family. But regardless of the dangers of methotrexate overdose, Care has not been taken in explaining to the patient and not giving written and not correct language guidance. Conclusion: The following are noteworthy in this case for patient safety: 1- The doctor must explained the correct usage method completely to the patient and his companion. 2- The pharmacist carefully wrote on the medicine box that it should be taken 3 times a week. For example, Saturday, Monday, Wednesday. 3- The patient must visited the doctor again after receiving the drug.
کلمات کلیدی
methotrexate, medical error, rheumatoid arthritis
