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Incorrect medication in a nursing home patient

A patient with a history of sepsis, stroke, and tachycardia develops an increased heart rate after receiving the wrong medication.

Patient Information

38 year-old female

Preexisting Conditions

Tachycardia, Acute Renal Failure, Ventilator Dependent

Patient History

Sepsis, Stroke

Device Used

Wrist Wearable

A patient with a history of sepsis, stroke, and tachycardia develops an increased heart rate after receiving the wrong medication.
Timeline

2:20 pm

Increased heart rate alert at 114 BPM

3:30 pm

Increased heart rate alert at 114 BPM. Bedside assessment is completed and MD notified. It is discovered that a heart rate medication change was not relayed to the nursing home after patient was discharged from the hospital. The correct medication was dispensed, and heart rate normalized.

Summary

This case study illuminates the critical importance of accurate and timely health monitoring in managing medication regimens for nursing home residents. The focus is on a 38-year-old female patient with a complex medical background, including tachycardia, acute renal failure, and ventilator dependency, compounded by a history of sepsis and stroke.

The incident began with the BioLink system detecting an elevated heart rate of 114 BPM at two different times, signaling a potential issue. These alerts led to a bedside assessment by the nursing staff and a consultation with a medical doctor (MD). It was discovered that a recent change in the patient's heart rate medication, made after her discharge from the hospital, had not been communicated to the nursing home. This oversight was quickly rectified with the administration of the correct medication, resulting in the normalization of the patient's heart rate.

This case study underscores the essential role of continuous monitoring in ensuring the well-being of patients, particularly those with complex health needs. The BioLink system's alerting capability was instrumental in identifying the issue, facilitating prompt medical review, and enabling corrective action. This scenario highlights how advanced technology like BioLink's can be a vital tool in enhancing patient safety and care quality in nursing homes, especially in managing critical aspects like medication adherence.

Diagnosis

Medication adjustment

Alerts Received

Heart Rate