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Disasters Averted

Disasters Averted are stories submitted by our readers and medical editors from direct experience in the field. Do you have a story? If your story is used, we will send you a $25 Amazon Gift Card! Submissions can be anonymous.

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Medical ID Bracelet

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A new patient, a young man recently diagnosed with diabetes, was aware of the problems associated with alcohol and hypoglycemia but liked to go out with friends on the weekend.  I stressed the need for a medical ID bracelet and after a couple of visits he did purchase one. It …

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Using IV Insulin

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From our partners at ISMP: An IV insulin bag was hung when replacing the patient’s Versed® (midazolam) bag. Two bags of insulin were then hanging, one at rate of 8 (Versed rate) and one at 5 (insulin rate). A [mid-afternoon] accucheck showed that the [blood glucose] level decreased to 36. …

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Click It Like a Pen

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A new patient who had been using insulin pens for two years came in for a consult because his blood sugars continued to go up even though his doctor kept increasing the dose of insulin. He was on a very large amount of insulin. Our endocrinologist thought he was on …

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