HYDRION

Description of Event or Problem

THE PATIENT WAS TO RECEIVE HIGH-DOSE METHOTREXATE ALONG WITH TESTING URINE ALL SHIFT. THE POCT (POINT-OF-CARE TESTING) TESTING STRIPS WERE RESULTING WITH PH RANGES OF 6.5 TO 7.0 SODIUM BICARB RATE OF INFUSION WAS INCREASED WITH NO CHANGE IN PH LEVELS. A UA WAS SENT TO THE HOSPITAL LABORATORY, AND THE PH RESULT WAS 9.0 X 2. HERE IS A BREAKDOWN OF THE DISCREPANT URINE PH TESTING RESULTS OF THE POCT STRIPS USED VERSUS WHAT THE HOSPITAL LABORATORY RESULTS WERE: DATE TIME: 1627, PH POCT: 6.5 POCT, VS TIME: 1702, LAB (L) RUN: 9 L; DATE TIME: 1703, PH POCT: 6.5 POCT, VS TIME: 1810, LAB (L) RUN: 9 L; DATE TIME: 1827, PH POCT: 7 POCT, VS TIME: 0010, LAB (L) RUN: 9 L; DATE TIME: 0847, PH POCT: 8 POCT, VS TIME: 0845 LAB (L) RUN: 9 L; DATE TIME:1048, PH POCT: 8 POCT.