Mr Simpson was prescribed warfarin following a stroke, and was later prescribed miconazole, an anti fungal agent, for cellulitis.However, when prescribed together it increases the anticoagulant effect which meant Mr Simpson’s body’s ability to blood clot was severely impacted.The inquest heard how there were no physical signs of massive abdominal bleeding https://www.withjersey.com/, but an international normalisation ratio (INR) check would have told doctors Mr Simpson’s blood was not clotting properly.Mr Singleton said he was concerned that when, on two days running doctors could not collect enough blood for reading, they ‘ignored it rather than go back and take another blood sample’.He said: “That seems to me a systemic failure rather than an individual failure. There is no system in place that says if you take out a blood sample and it’s insufficient then, rather than simply ignore it, you should go back and take another.”One cannot speculate as to whether, in fact, had the INR been capable of being collected on the first occasion and vitamin K provided, the outcome would have been different.”Whatever chance he had he lost by the failure to do that.”Mr Singleton said: “He simply bled to death internally. The relatively minor fall would have itself not have caused any significant injury had it not been for the fact blood clotting agents were such that once there was a minor bleeding from a minor blood vessel, it simply did not stop.”There was an opportunity to deal with that at the Royal Blackburn Hospital because on admission they took a blood sample to do the full blood count, but there was insufficient taken to collect the INR.”In terms of the prescribing of miconazole, that seems to me is a personal failing.
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