Some of that would be unit protocol, which I don't know. <modsnip - "I heard" is not an approved source>
<modsnip - insider info without being verified>
There weren't any other insulin cases around the same time. But this baby had been on insulin prior, and his twin brother was too, I'm a little fuzzy at the moment on the timeline between when his brother died and when he had his glucose issues.
I'm not sold it was in the TPN ever.
interesting. Do you know if there is any guidelines on the cell by date on tpn? I think according to testimony the reason they had to use the stock bags was due to the pharmacy not being open or due to pressing need of a fresh tpn.
“The day after allegedly murdering child E in August 2015, Lucy Letby allegedly used insulin for the first time to poison a baby, the court heard, in trying to murder child F.
Child F was prescribed a TPN (total parenteral nutrition) bag of fluids and later suffered an unexpected drop in his blood sugar levels and surge in heart rate. Checks on his insulin levels were carried out which showed, “conclusive evidence” someone had given child F insulin to poison him.
Mr Johnson said no other baby on the neo-natal unit was prescribed insulin so child F could not have received the drug intended for some other child by negligence.”
THE trial of Lucy Letby has heard the Countess of Chester Hospital neonatal unit nurse tried to poison a new-born twin with insulin.
www.chesterstandard.co.uk
“If it is known in advance that a baby cannot have milk and needs to be fed fluids then the TPN bag is prepared by the Aseptic Pharmacy Unit (APU) at the CoCH on receipt of a prescription.
The pharmacy bag is delivered back to the ward and is bespoke, prepared for an individual patient.
"If, for whatever reason, there is no need for a TPN bag, there are a couple of stock bags...kept in reserve."”
Child F's blood glucose increased, before falling back. A new bespoke TPN was made for Child F, delivered at 4pm.
The prosecution say this could not have been the same one fitted to Child F at noon that day which would have been either a bespoke bag which Lucy Letby co-signed for, or a stock bag from the fridge.
Mr Johnson said Child F's low blood sugar continued in the absence of Lucy Letby.
Child F's blood sample at 5.56pm had a glucose level was very low, and after he was taken off the TPN and replaced with dextrose, his blood glucose levels returned to normal by 7.30pm. He had no further episodes of hypoglycaemia.
"These episodes were sufficiently concerning" that medical staff checked Child F's blood plasma level. The 5.56pm sample recorded a "very high insulin measurement of 4,657".
Child F's hormone level of C-peptide was very low - less than 169.
The combination of the two levels, the prosecution say, means someone must have "been given or taken synthetic insulin" - "the only conclusion".
"That, we say, means that somebody gave Child F synthetic insulin - somebody poisoned him."”
THE trial of former Countess of Chester Hospital nurse Lucy Letby, who is accused of multiple baby murders, is due to finalise its jury and hear…
www.chesterstandard.co.uk
"There should be virtually no insulin detected in the body...rather than that, there is a very high reading of 4,657".
The insulin C-peptide reading should, for natural insulin, should be even higher [than 4,657] in this context, Dr Gibbs explains, but it is "very low"
The ratio of C-peptide/insulin is marked as '0.0', when it should be '5.0-10.0'
Dr Gibbs says the insulin c-peptide reading should be at 20,000-40,000 to correlate with the insulin reading in this test.
The doctor says this insulin result showed Child F had been given a pharmaceutical form of insulin administered, and he "should have never received it".
The trial of Lucy Letby, who denies murdering seven babies at the Countess of Chester Hospital neonatal unit and attempting to murder 10 more,…
www.chesterstandard.co.uk
“Ben Myers KC, for Letby's defence, asks about the administration of the drugs, and how they are administered.
The nurse says the 10% dextrose would come in 500ml bags, and can be divided up on the unit for infusions, or come available via the pharmacy in 50ml pre-made doses.
The nurse says she does not have an independent recollection of the event.
She confirms if the long line is tissued, it cannot be used again.
Mr Myers says if the long line is changed, then everything else is changed to avoid infection, including the TPN bag. The nurse confirms that would be the case.
Mr Myers: "You wouldn't put up an old [TPN] bag, would you?"
The nurse: "I wouldn't, no. And we wouldn't have put it up as we would have documented that."”
THE trial of former Countess of Chester Hospital nurse Lucy Letby, who is accused of multiple baby murders, is due to finalise its jury and hear…
www.chesterstandard.co.uk
these are the relevant articles with information on child F who had the tpn bag and alleged insulin poisoning. It’s allot of information.
will be really good to have some input though as we are all in agreement that this is the strongest case that someone had deliberately done something. But the thing is the second tpn bag leaves serious questions to any whose minds aren’t already made up.
FYI if you put a qualifier like jmo (just my opinion) after your posts the mods won’t necessarily snip or cut your posts.
