practice partner
If the printout on methotrexate had been reviewed,
it is possible that healthcare providers would have
recognized the symptoms
of methotrexate toxicity.
monitoring blood work was ordered
at the same time.
On November 17, 2010, the longterm care nursing note indicated
that both the patient and her daughter had questions about the methotrexate that the nurse answered to
the best of her abilities. There was
no comment about whether the
faxed information about methotrexate was reviewed
and used to answer those questions. [Note: Both nurses
who administered the methotrexate said they had never
administered it before.]
By November 27, 2010, it was noted that the patient’s
skin was worse, her voice was hoarse, she was complaining of a sore mouth and throat, and generally feeling
unwell. All of these symptoms were consistent with
methotrexate toxicity as noted in the printout obtained
by the attending physician.
On November 30, 20