Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

CiteULike is a free service for managing and discovering scholarly references - click here to get started.

Sign In to gain access to subscriptions and/or personal tools.
Journal of Parenteral and Enteral Nutrition
This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Stellato, T. A.
Right arrow Articles by Creger, R. J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Stellato, T. A.
Right arrow Articles by Creger, R. J.
Social Bookmarking
Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Case Reports

Inadvertent Intravenous Administration of Enteral Diet

Thomas A. Stellato, M.D.

Departments of Surgery and Pharmacy, Case Western Reserve University School of Medicine, Cleveland, Ohio

Larry H. Danziger, PHARM.D.

Departments of Surgery and Pharmacy, Case Western Reserve University School of Medicine, Cleveland, Ohio

Howard S. Nearman, M.D.

Departments of Surgery and Pharmacy, Case Western Reserve University School of Medicine, Cleveland, Ohio

Richard J. Creger, PHARM.D.

Departments of Surgery and Pharmacy, Case Western Reserve University School of Medicine, Cleveland, Ohio

Needle catheter jejunostomy feedings were instituted in a 64-yr-old man on postoperative day 1 following subtotal gastrectomy for carcinoma of the antrum. Several days later, the enteral tube catheter was inadvertently connected to the patient's peripheral intravenous cannula which resulted in the intravenous administration of the enteral formula solution. The administration was stopped immediately when recognized, but 4 hr later the patient became febrile, hypotensive, and tachycardic. Cultures from the enteral solution demonstrated Streptococcal viridans and yeast; the patient's blood cultures similarly demonstrated S. viridans. Broad spectrum antibiotics, hemodynamic monitoring, and intravascular support with crystalloid solutions resulted in a favorable outcome. Prevention of the complication could be assured by adopting luer connectors for enteral feeding sets which cannot be connected to intravenous cannulas. Until these are available, the addition of methylene blue to the tube feeding formula or utilization of color coded distal connecting tubing may prevent accidental intravenous administration of tube feeding formulas. The potential for this complication must be recognized by those dealing with enteral feedings. (Journal of Parenteral and Enteral Nutrition 8:453-455, 1984)

Journal of Parenteral and Enteral Nutrition, Vol. 8, No. 4, 453-455 (1984)
DOI: 10.1177/0148607184008004453
Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?


This article has been cited by other articles:


Home page
 PediatricsHome page
C. A. Ryan, I. Mohammad, and B. Murphy
Normal Neurologic and Developmental Outcome After an Accidental Intravenous Infusion of Expressed Breast Milk in a Neonate
Pediatrics, January 1, 2006; 117(1): 236 - 238.
[Abstract] [Full Text] [PDF]

Home page
 JPEN J Parenter Enteral NutrHome page
K. S. Ulicny JR. and J. L. Korelitz
Multiorgan Failure from the Inadvertent Intravenous Administration of Enteral Feeding
JPEN J Parenter Enteral Nutr, November 1, 1989; 13(6): 658 - 660.
[Abstract] [PDF]