Recommendations Recap 2024 Q2 [pdf, 884 KB]
...(taking samples for analysis to identify the cause of sepsis) and to give intravenous fluid to both maintain her blood pressure and administer antibiotics to treat her sepsis. During this time, a nurse unfamiliar with managing dialysis lines failed to clamp her tunnel line correctly after administering medication. This error led to significant blood loss (approximately 750 millilitres) which contributed to her deteriorating condition. Ms Noble’s condition continued to deteriorate desp...