National Standard for User-applied Labelling of Injectable ...
A patient was given 50 micrograms of fentanyl instead of normal saline to flush an intravenous catheter. The label from the syringe containing fentanyl fell off, and the syringe was mistaken for a syringe of the same size containing normal saline. ... for example, a dialysis catheter with a heparin lock. A label is provided to identify a ... ................
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