Stop Tranexamic Acid Errors in Their Tracks
April 2024
There’ll be renewed emphasis on preventing tranexamic acid wrong-route errors.
It’s a new focus in ISMP’s 2024-2025 Targeted Medication Safety Best Practices for Hospitals...due to the risk for mix-ups between vials of tranexamic acid and local anesthetics (bupivacaine, etc).
This has led to accidental intrathecal administration of tranexamic acid...which leads to seizures and is fatal in around 50% of cases. Patients who survive usually have permanent, serious neurological damage.
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