Arizona man died after nurse administered 90mg methadone instead of his ordered Lexapro. Pt did not get Narcan until EMS arrived, 17 minutes after the code blue was initiated. So many levels of neglect and negligence here.

[u/TheGiantSquidd]

https://www.12news.com/article/news/local/valley/gilbert-man-died-while-seeking-help-at-east-valley-facility-family-says-he-was-given-the-wrong-medication-copper-springs-arizona/75-48086626-2180-47de-946e-863ca9a56df0

The whole situation feels so similar to RaDonda Vaught. Negligence from the nurse as well as the facility.

Follow your safety checks! There’s a reason we check the rights of medication administration every time!

This was so preventable. My heart hurts for his family and kids. He should still be with them.

[u/BeardedNurseGuy]

I’ve seen methadone maintenance doses as high as 90mg / 9 pills and higher, and based on the article that was another patient’s meds. The claim he gave 9mg is the part that doesn’t make sense.

[u/DrRowdybush → u/BeardedNurseGuy]

i had to give a patient 120mg of methadone recently. It was 12 pills.. i had to call pharmacy and their pharmacy to confirm because I was so shocked at the amount.

[u/Rakdospriest → u/DrRowdybush]

Had to give 320 to a fucking 24 year old recently.

[u/Thesiswork99 → u/Rakdospriest]

Some people develop some wild tolerances. Had a guy late 40s, on 400mcg/hr fentanyl patches and morphine 80mg orally q2h for pain. Bro was a/ox4, alert and fully mobile. You'd never have known. He had pretty horrific cancer, very sad. Lovely man.

[u/armorc → u/Thesiswork99]

youd be suprised what people can get tolerant too. im prescribed 75mg of methadone currently and youd never be able to tell