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

Stop being so dramatic reallybadidea of course someone should point out that it "run of the meal" is not a thing, saves embarrassment in future and it is very confusing I thought the food part was relevant.

Mill !!!!!!!

I know we are in AIBU...
Im sure people knew what i was talking about

I hope the doctor comes to see you and can explain what dose you should be on, have you seen your drug chart. Are you bedbound at the moment, hope you are ok.

You have been given a lot of incorrect information on this thread. 25,000 units is not a normal dose. The maximum dose for patients who weigh 83kg and above is 18,000 units and people with kidney disease require a lower dose not a higher dose! Please ask to be reviewed by a doctor urgently as you may be at higher risk of bleeding as a result of being given too much Fragmin and will need to be monitored for signs of this. The hospital should also be reporting this as a prescribing error using their reporting system.

@Flatearthersphere @MyDcAreMarvel Why be so pedantic, no one else had a problem understanding what the OP meant - and is clearly worrying about something bigger than whether the phrase she used was spelt correctly. Dickheads the pair of you.

@pointlessanswer Indeed. If the OP has been given 25000 units, somebody's almost certainly going to have some explaining to do... I'm surprised the nurse administered it without querying it tbh.

Im on a tablet (nothing as serious) which states max dose of 300mg yet im on over 400mg. Dont believe everything you read online.
Ask for a doc to speak to you if though to reassure you

I’m almost certain the doctor has prescribed 2500 units but instead of writing the word ‘units’ on the drug cardex they wrote the letter ‘U’ and the administering nurse misread it.
Personally I would keep buzzing the nurses until you are reassessed, and I would expect that to be swift.

Misread the U as another zero I mean. Doctors handwriting is notoriously shite.

Can you ask your nurse to show you the entry on your drug chart? Does it say 2500 units or 25,000? Or has the doctor written 2500 U (as in units) and the nurse has misread the U as another zero? It might just help clarify what has happened whilst you wait for the doctor to be available.

Is it a handwritten chart or an electronic prescribing system? If electronic it’s almost certainly a prescribing error rather than an administration error and therefore the doctor is to blame. Don’t panic though, nothing bad is going to happen immediately. Just remind the nurses to contact the doctor ASAP

Weebeastiebaby if it is a drug error, the nurse will be at fault too. You don't just blindly give a patient a drug because it's prescribed.

OP, keep asking the staff.

If you havent actually got a blood clot anywhere and it is just a preventative dose then it is usually 5000 units. It does sound like a mistake has happenned. Maybe it was meant to be 2500 and you have been given 25000. I 've never given a dose that big. If you have been overdosed then you may need an antidote.

Any update op. With doctors prescription errors I thought they were not to use the units symbol anymore and had to write the word units after the dose. Is fragmin prescribed on a separate anti coagulation chart, a bit like warfarin is.

In my trust they aren’t supposed to write U, same as with insulin etc. But some do. Our drugs cardex’s have a separate VTE section.

I knew they couldnt do it with insulin prescriptions.

I’ve never had to give 25000 before, it’s quite a big dose. Have you seen the doctor yet?

Hope you are ok

Maybe it's the OP who mistook the U for a 0 and she's actually been given 2500u?

Hope you're ok op.

As for the people saying to trust those looking after you and not Google. Please don't, always question everything you aren't certain about. I say this as someone who has a deformed leg which is several inches shorter than the other because an orthopedic consultant viewed the x-ray the wrong way round. Doctor's and nurses are human, they make mistakes.

It sounds as if the OP's first language isn't English, which makes the correction even worse.

Hopefully its a simple explanation and the op has seen the dr already. Get better soon op

Don't panic OP. If an overdose has occured it can be reversed with protamine

Hope you're okay.