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pharymacy tech- project ( Case- Beth Hippley)

overdose of blood thinner Warfarin

brian cortez

on 13 December 2010

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Transcript of pharymacy tech- project ( Case- Beth Hippley)

Beth Hippely Case Mother of four, diagnosed with breast cancer, given 88% chance of full recovery. Dies of a medication miscalulation. Case Background patient's name was Beth Hippely
Had breast cancer
Mother of four Treatment-
prescription drug (Warfarin) The prescription-
warfarin- a blood thinner
supposed to take 1 milligram tablet
gave her wrong dose (10 milligrams) who gave her wrong med.-
a teenage pharmacist technican after taking the medication for a few weeks Beth had suffered a stroke, causing a brain hemorage that caused her personal injury, physical pain, and paralysis forcing her to stop necessary cancer treatments. She died in January 2007. Case Outcome Verdict
Plaintiff awards $33 million dollars. Warfarin What is it?
A blood Thinner (reduces the formation of blood clots)
Prevents heart attacks, stokes, and blood clots. side effects
•skin changes or discoloration anywhere on your body;
•purple toes or fingers;
•pain in your stomach, back, or sides;
•low fever, loss of appetite, dark urine, jaundice (yellowing of the skin or eyes);
•diarrhea, fever, chills, body aches, flu symptoms;
•easy bruising or bleeding that will not stop;
•blood in your urine;
•black, bloody, or tarry stools;
•nosebleeds, bleeding gums, coughing up blood;
•feeling weak or light-headed;
•sudden headache, confusion, problems with vision, speech, or balance;
•sudden leg or foot pain; or
•sudden numbness or weakness, especially on one side of the body. When you should not take this drug
If you are pregnant
If you are going to have a spinal tap
If you are about to undergo surgery. What drugs should you not take.
acetaminophen (Tylenol)
NSAIDs (non-steroidal anti-inflammatory drugs)



Warfarin sodium can cause major or fatal bleeding. Bleeding is more likely to occur during the starting period and with a higher dose (resulting in a higher INR). Risk factors for bleeding include high intensity of anticoagulation (INR > 4.0), age ≥ 65, highly variable INRs, history of gastrointestinal bleeding, hypertension, cerebrovascular disease, serious heart disease, anemia, malignancy, trauma, renal insufficiency, concomitant drugs (see PRECAUTIONS), and long duration of warfarin therapy. Regular monitoring of INR should be performed on all treated patients. Those at high risk of bleeding may benefit from more frequent INR monitoring, careful dose adjustment to desired INR, and a shorter duration of therapy. Patients should be instructed about prevention measures to minimize risk of bleeding and to report immediately to physicians signs and symptoms of bleeding
You should take this medication only once a day or as directed by a physician. Family sues in 2003
Trial happens in 2007
Case over on Feb. 26, 2010.
A jury in August 2007 found Walgreens liable for the death of Hippely, 46, after giving her 10 times the prescribed dosage for Warfarin, a blood thinner, to treat breast cancer. A jury in August 2007 found Walgreens liable for the death of Hippely, 46, after giving her 10 times the prescribed dosage for Warfarin, a blood thinner, to treat breast cancer. Patient condition
Health care professional
fired what would I have done Differntly? Well the fault was that the technican probably didn't check his work to make sure it was correct.
I probably would've checked with the pharmaisist or I would've called the doctor to just in case the writing wasn't legibale.
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