Nursing Home Patients Continue To Receive Drugs Associated With Known Dangers

Through no fault of their own, many nursing home patients continue to receive medications known to potentially cause serious injury or death.  Many of these situations involve claims for damage against the drug manufacturers themselves.  In other cases, the prescribing physician may be partially responsible for failing to monitor the patient.

In 1988 the FDA approved the use of Gadolinium for use as a contrast agent in MRI's. Contrast agents help in enhancing the clarity of MRI images. Gadolinium bonds with damaged or diseased tissues giving doctors a much clearer picture of organs that they would without.

On June 8, 2006 the FDA issued a warning that Gadolinium may be linked to Nephrogenic Systemic Fibrosis (NSF) or Nephrogenic Fibrosing Dermopathy (NFD). NSF & NFD patients may have one or more of the follow conditions:

Avandia is the most commonly prescribed diabetes drug in the United States. Avandia (rosiglitazone) is used to treat type 2, non-insulin dependent diabetes by increasing the bodies sensitivity to insulin. Avandia is manufactured by pharmaceutical giant GlaxoSmithKline and has been on the market since 1999. If you have type 2, diabetes there is a strong likelihood you may have taken Avandia at some time.

Ruth Lomeo, a 44-year-old disabled person, will receive $1.6 million from the California nursing home responsible for her care. In July, 2005 Lomeo was admitted to Edgemoor Geriatric Hospital for treatment of Lupus, a chronic inflammatory disease. The nursing home staff was responsible for properly administering Fentanyl skin patches to help Lomeo cope with chronic pain. Physician orders directed the nursing home staff to put the pain patches on alternating arms every 48 hours.

Stevens-Johnson Syndrome (“SJS”) is a systemic disorder that affects the skin and mucous membranes, usually caused by a severe drug reaction. SJS often begins with flu-like symptoms (fever, sore throat, cough, burning eyes), then progresses to red or purple rashes and blisters (photos), especially around the mouth, nose, eyes. These symptoms eventually lead to skin sloughing (the shedding of the top layer of skin) because of cell death. Some patients with extreme cases of SJS appear as though they were severely burned due to the extensive skin loss.

We've all gone through the unpleasant task of preparing for a colonoscopy. Drinking an unpleasant liquid or popping pills for the purpose of giving the doctor a better view of our colon's contents is.... anything but pleasant. Now, news has surfaced that, depending on the product you used to prepare for the procedure, the experience may not have been merely unpleasant-- but downright dangerous.

On December 11, 2008, the FDA ordered the makers of Visicol and OsmoPrep to put a black box warning on their products alerting consumers to the fact that the drugs can cause kidney damage or death. The warning came after the FDA confirmed more than 20 reports of a severe kidney injury called acute phosphate nephropathy after people consumed the products. Acute phosphate nephropathy may progress resulting in: kidney failure, long-term dialysis, the need for a kidney transplant or death.

Recently, we were contacted by the family of a lady who within several months of taking Reglan Tablets, began to develop severe muscle spasms in her face. We soon found out that the staff physician had prescribed Reglan several months before the spasms started.

Reglan (generic name – metoclopramide) speeds up the movement of the stomach muscles, which increases the rate at which the stomach empties into the intestines. This prescription drug is used to treat gastrointestinal disorders including heartburn caused by gastroesophageal reflux disorder (GERD), diabetic gastroparesis (stomach does not contract), and to prevent nausea and vomiting caused by cancer chemotherapy and surgery.

For more than 30 years Strellis & Field has championed the legal rights of the injured.  If you suffered believe a drug is responsible for the death or injury to a loved one, we welcome you to contact us for a free legal consultation to learn your rights.  (888) 424-5757

Wrongful Death Lawsuit Claims Nursing Home Negligently Administered Allergy Inducing Drugs To Patient

The Estate of a deceased nursing home patient has filed a wrongful death lawsuit against the facility where she died and other parties who allegedly contributed to her death.  The crux of the lawsuit alleges that the staff and physicians at the nursing home failed to note the woman's allergy to medications containing Sulfonamide, a common ingredient in antibiotic medications such as Bactrim.

After the the staff at the nursing home began administering Bactrim, the woman began to experience a severe reaction on her skin.  According to the lawsuit, 

"the plaintiff's decedent sustained a severe reaction to the administration of Bactrim, D.S., she developed multiple large open areas in the skin over large portions of her body, portions of her skin sloughed off; the skin over her entire body became 'tented' and she developed red blistering over the back of her neck and back and she developed toxic epidermal necroysis, causing her skin to slough off, she lost 55% of her active skin, she had a positive Nikolsky sign, she had whole body erythema, lesions, blistering and sloughing"

The lawsuit has been filed against 17 different defendants, including Atrium Health Care and Rehabilitation Center in St. Clair County Circuit Court.  The lawsuit seeks $1.9 million.

Toxic epidermal necroysis following the administration of Bactrim?

Sounds like this woman was suffering the effects of Stevens Johnson Syndrome.  Stevens-Johnson Syndrome (“SJS”) is a systemic disorder that affects the skin and mucous membranes, usually caused by a severe drug reaction.

SJS often begins with flu-like symptoms (fever, sore throat, cough, burning eyes), then progresses to red or purple rashes and blisters (photos), especially around the mouth, nose, eyes. These symptoms eventually lead to skin sloughing (the shedding of the top layer of skin) because of cell death. Some patients with extreme cases of SJS appear as though they were severely burned due to the extensive skin loss.

Although at least from the allegations in the complaint, this facility failed to note this woman's allergies, I'm sure they also failed to monitor the severe skin reaction and notify the woman's physician about the change in her condition. 

Read more about this wrongful death lawsuit here.

Related:

Medications Commonly Prescribed To Nursing Home Patients May Cause Stevens Johnson Syndrome

Medications Commonly Prescribed To Nursing Home Patients May Cause Stevens Johnson Syndrome

Stevens-Johnson Syndrome (“SJS”) is a systemic disorder that affects the skin and mucous membranes, usually caused by a severe drug reaction.  SJS often begins with flu-like symptoms (fever, sore throat, cough, burning eyes), then progresses to red or purple rashes and blisters (photos), especially around the mouth, nose, eyes.  These symptoms eventually lead to skin sloughing (the shedding of the top layer of skin) because of cell death.  Some patients with extreme cases of SJS appear as though they were severely burned due to the extensive skin loss.

Stevens-Johnson syndrome is a hypersensitivity disorder usually caused by a reaction to a newly prescribed medication.  Although any drug can cause SJS, several drugs are often associated with SJS including: anti-gout medications, non-steroidal anti-inflammatory drugs, sulfonamides and penicillins, and anticonvulsants.

Some drugs which have been associated with SJS that are frequently prescribed to nursing home patients include:

  • Advil
  • Motrin
  • Vioxx
  • Celebrex
  • Bextra

Although Stevens-Johnson Syndrome is difficult to predict, there are several risk factors.  These include existing medical conditions (pre-existing infections) and genetics (carrying the HLA-B12 gene).  Still, there are no tests to help determine who is at risk for SJS.  To diagnose SJS, doctors conduct a physical exam and possibly a biopsy of the skin for further examination. 

Elderly patients in nursing homes are particularly susceptible to Stevens-Johnson syndrome because nursing home facilities fail to properly screen residents prior to administering potentially reactive drugs.  This is especially when a medication is prescribed by a physician who does not have ongoing contact with the patient.  Also, many nursing homes do not adequately train their staff to look for adverse reactions to drugs.

Treatment of Stevens-Johnson syndrome often requires hospitalization, especially because of possible complications.  These complications include a secondary skin infection, sepsis (bacteria entering the bloodstream, which can cause shock and even organ failure), eye problems (resulting from inflammation caused by any rash and blisters around the eyes), damaging lesions on internal organs, and permanent skin damage including abnormal coloring and scars.  The rash and blisters can take several weeks to heal, depending on the severity of the attack.  In more severe cases, where lesions cover about a third of the body, it is referred to as Toxic Epidermal Necrolysis (TEN). If SJS is left untreated, it can result in death.

The main treatment of SJS includes stopping the use of any medications that could be causing the Stevens-Johnson syndrome.  Further treatment includes fluid replacement and application of cool, wet compresses, accompanied by medication to ease itching and discomfort.  These supportive treatments are often performed in burn units. 

It is difficult to prevent Stevens-Johnson syndrome the first time because of how difficult it is to predict what will cause it; however, once a trigger is identified, that medication should be avoided in order to prevent further reactions.  Because recurrences of SJS are often more severe, it is important to properly identify SJS triggers. 

In the case of nursing home patients, we frequently see that staff physicians fail to alert staff to the fact that a new (and potentially dangerous drug) was introduced to patients.  This failure to communicate can lead nurses and other staff misinterpreting an allergic reaction to the medication as an general illness.  In some cases, the delay in diagnosis has resulted in irreversible injury or death.

Resources:

MayoClinic.com - Stevens-Johnson Syndrome

The Stevens-Johnson Syndrome Foundation

Photo Of Individual With Stevens Johnson Syndrome