Teresa Auriemma
14 Nov 2024 · Coroner David Reid · Worcestershire
The coroner's concerns
1. failure to monitor electrolytes before prescribing IV potassium
“None of the doctors caring for Mrs. [name redacted] from 11.3.24 onwards appear to have heeded the guidance of policy WAHT-PHA-020 for the treatment of hypokalaemia, and in particular that daily monitoring of urea and electrolytes ( U&E ) was required until the patient's potassium levels had returned to normal levels. Mrs. [name redacted] had been prescribed an oral potassium supplement from 11.3.24. A junior doctor assisting the consultant on the ward round on 15.3.24, when asked what Mrs. [name redacted] potas”