Last edited Sat Dec 15, 2012, 12:26 PM - Edit history (1)
People have survived much more massive overdoses, so she probably could have survived that if anyone had been monitoring her regularly and had caught the error in time
... staffers gave Juno 80 units of Levemir insulin – 10 times the dosage prescribed ...
Fatal outsourcing? Thomas Hospital hit with $140 million verdict in death of Daphne woman
Brendan Kirby
on December 14, 2012 at 4:42 PM
updated December 14, 2012 at 10:47 PM
http://blog.al.com/live/2012/12/fatal_outsourcing_thomas_hospi.html
... A 52-year-old insulin-dependant diabetic man presented to the Emergency Department 2 hours after a deliberate massive overdose of 2100 units of long-acting Levemir insulin and a large quantity of whisky ... He experienced his last hypoglycaemic episode 41 hours after taking the overdose and dextrose infusions were continued for 62 hours in total. Metformin was restarted 10 hours after stopping the dextrose infusion ... Von Mach et al. have shown that half of cases of overdose present within the first six hours after the overdose. 2.7% of insulin overdose patients will have long-term cerebral defects whilst mortality is 2.7%. Prognosis is poorer in patients who are admitted unconscious 12 hours after overdose ... Levemir is a long-acting insulin which delivers a constant level of insulin between meals. The long duration of action of Levemir and concurrent alcohol usage may have contributed to the persistent hypoglycaemic episodes ...
Case Reports in Medicine
Volume 2012 (2012), Article ID 904841, 3 pages
doi:10.1155/2012/904841Case ReportMassive Levemir (Long-Acting) Insulin Overdose: Case Report
Mamatha Oduru and Mahmood Ahmad
http://www.hindawi.com/crim/medicine/2012/904841/
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