D
Patient 1
PATIENT HAD AN ALLEGED REACTION TO PRODUCT. PATIENT'S HYGIENIST USED MI PASTE AS PROPHY PASTE DURING CLEANING APPOINTMENT FOR THIS NEW PATIENT TO THEIR PRACTICE. PATIENT'S HISTORY HAD LISTED NUMEROUS ALLERGENS. PATIENT'S MOTHER JUST LISTED FOOD ALLERGY AND WAS NOT SPECIFIC THAT IT WAS SEVERE ALLERGY TO ALL DAIRY PRODUCTS. OTHER KNOWN ALLERGIES LISTED WERE PEANUTS AND (B)(4). AS SOON AS THE HYGIENIST STARTED TO POLISH PATIENT'S TEETH HE STOPPED HER AFTER HE NOTICED HIS MOUTH WAS TINGLING AND SWELLING. HE ASKED HER WHAT WAS IN THE PRODUCT AND SHE HAD TO GO CHECK. PATIENT COULD FEEL SWELLING ON LIPS, THROAT AND TONGUE AND IMMEDIATELY STARTED RINSING MOUTH. HYGIENIST STARTED TO READ OFF WHAT WAS IN THE PRODUCT AND CAME ACROSS BENZOATE ALLERGIES AND MILK PROTEIN ALLERGIES CONTRAINDICATION AND PATIENT THEN CALLED FOR HIS MOTHER TO BRING IN EPI PEN THAT WAS IMMEDIATELY ADMINISTERED IN THE OFFICE BY HIS MOTHER. PATIENT SAID HE IS ALLERGIC TO ALL DAIRY PRODUCTS. DENTIST NEVER HAD A CHANCE TO EVALUATE HIS PATIENT, THE MOTHER IMMEDIATELY TOOK HIM TO THE HOSPITAL WHERE HE WAS TREATED IN E.R. FOR AN ALLERGIC REACTION. PATIENT WAS ADMINISTERED BENADRYL 100MG AND A PREDNISONE DRIP TO COUNTERACT REACTION. PATIENT WAS FIRST ADMITTED TO ICU SINCE HE IS A SLEEP APNEA PATIENT AND HAS LUNG DEVELOPMENT ISSUES TO WATCH HIS OXYGEN LEVELS. HE WAS RELEASED THE NEXT MORNING AFTER REACTION SUBSIDED AND WILL FOLLOW UP WITH HIS PRIMARY PHYSICIAN (B)(6) ON (B)(6) 2013.