Inquest into the death of Audrey MacGREGOR
88y · Female·combined effects of an overdose of hydromorphone and complications of pneumonia …
… respiratory distress on 24 October 2013. Two nurses unfamiliar with hydromorphone administered a 10-fold overdose (5 mg instead of 0.5 mg), mistaking the dose unit from milligrams to millilitres and confusing it with mo…