Fragmin overdose by hospital?!

[LondonLassInTheCountry]

Hello.

Put here for traffic. Sorry.

Im currently in hospital.

Given a 25,000 injection of fragmin. For my weight i suppose to have only 15.000
No reason to have a bigger dose.
Just normal run of the meal, injection as im laying in a hospital bed

When given it i asked why so big, the nurse said thats what the dr said.... As soon as it was injected i thought it was way to much. Googled it and everywhere it says max dose is 18.000.

Iv spoke to the nurse and shes apparently spoke to the doctor but an hour later and no one has been to see me.

What signs should i look out for? In case of internal bleeding.

This isnt on, is it

What are you having it for. If I remember correctly (haven’t been a nurse for a while!) we used 25,000 units in pre loaded syringes for surgery patients to prevent DVT.

Google implies that’s a normal initial dose

Was it a preloaded syringe?

Was it a pre filled syringe with the name of the drug on it it was it a normal clear syringe?

I googled everywhere and could only find info that 18.000 was a max dose.

I have kidney disease too... theres no reason i need it apart from laying in a hospital bed, run of the meal, preventing blood clots

It was 2 pre loaded syringes.
A 10,000 one and a 15,000 one

It's not "run of the meal"

They normally give me a blood clotting jab when im in but no where near as high as this

have trust in the people looking after you Google is not a doctor!

It depends if it’s prophylactic or treatment dose , you don’t say what weight you are it seems the higher end of a normal dose somwluld unlikely cause any problems and they would probably just withhold the next dose if a mistake had been made .

I’ve given 2 syringes when a patient is larger as it’s based on weight per kg

My weight = A 15,000 dose though.....

Iv been given 25,000

For DVT prophylaxis you'd normally get 5000 units. 15000 would be treatment dose. In your post you say you're only on Fragmin to prevent blood clots. Is there something else you've not mentioned? Are you being treated for a clot? Are you normally on a blood-thinner like warfarin? There must be more to this.

Again, this is dredging the brain of ancient Nursing... chronic kidney disease patients are at higher risk of DVT anyway so that combined with reduced mobility would probably warrant the higher dosage. I’m not sure though and the best person to ask is the Doctors.

Nothing honestly.
Im in for a kidney flare

Ask to speak to the nurse in charge of the ward and get them to check it.

I dont know anything about fragmin but my google says 25,000 is a normal dose in many situations? Try not to worry op until the dr manages to talk to you. Hope your better soon.

Iv spoke to 2 nurses and they just kept looking at their computers, said a doctor was on the ward and he would see me, but nothing yet.

I know they are busy....

Thank you to everyone who has replied and also thank you to those who have googled and reassuring that 25,000 is a normal dose

I would ask to speak to the ward manager or shift leader to clarify the dose. There are many individual reasons that can mean changes need to be made to the standard published doses which may be relevant for you. It’s impossible for us to say without knowing your medical history.

The only thing I can think of is that if you have poor kidney function, the DVT prevention dose is 2500 units. So perhaps either a doctor wrote one zero too many, or a nurse misread the dose. That is the theory that makes most sense of the facts available. But it's just speculation. Wait and see what the doctor says.

It’s run of the mill.

It takes a special kind of cunt to correct the OP's use of idioms on a thread like this.

Where are people getting 25000 as a normal dose from? The BNF doesn't suggest anywhere near that much as a single dose: bnf.nice.org.uk/drug/dalteparin-sodium.html

Oh grow up really, the op had already been reassured. I was being helpful. I would want to know personally ,as I was confused about the relation to food and the injection initially before the penny dropped.