Big mistake and consequences...BD 

Dr. Julius Pham's stomach churned when he saw a critically ill heart patient getting an antibiotic instead of a drug to support his blood pressure — the kind of mix-up that is increasingly common in the United States, according to a new report. "If you have ever had that sinking feeling that drops to the bottom of your stomach, I had it," Pham, then a critical care physician at Johns Hopkins University in Baltimore, told reporters. "Unfortunately, the patient did not do well."

A nurse had confused Levophed, which can boost blood pressure, with the antibiotic Levaquin.  The top 10 drugs sold in the United States in 2006 all made the mix-up list, including cholesterol drug Lipitor, heart drugs Toprol and Norvasc, antidepressant Lexapro, stomach acid pill Nexium and asthma drug Singulair.

Drug-name mix-ups getting worse - Health care- msnbc.com

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