Three years ago I had a total hip replacement at our local community hospital. I had a spinal anethesia and was not too out of it after surgery which was great. The first night after surgery the nurse brought my regular medicine that I take regularly. She held it out to me and I told her it didn't look like my medicine and she reassured me that it was and that the hospital used generics. Against my better judgement I took the medicne which was supposed to be the common drug Trazadone which is used to help with sleeping with a dianoses of Fibromyalgia. I had been on this drug for years. By the first morning after taking this med, I was drinking copious amounts of water and having to urinate very often which bothered the nurses cause they had to get me up to do this. Five days later, after not responding to the physical therapist, wetting the bed, blurting out things that I knew were not right, seeing things that were not there, mouth sores, totally out of it..I heard my pcp out in the hall of the hospital and my daughter was there with me at the time. I told her to go get my doctor. She came in and I told her that something was not right and she looked in my chart and flew out of the room and was yelling at the nurses out in the hall. They had been giving me an antiphycotic for 5 days in a mega dose 200 mg(that was my dose of trazadone) . The drug they were giving me was thorazine. They took me immediately to have an ekg. As it turns out, my othopediac surgeon had not made a mistake in listing this med on my orders but the hospital pharmacist had made the mistake. It is amazing to me that this happened cause the drug that they gave me was not something that they usually keep on hand as it is usually used in institutions. Furthermore after my speaking to the nurse about the med not looking right..she gave it to me without checking. I am not sure it would have helped as the mistake was the pharmacist.
The moral to this story is...have someone there with you as a advocate cause you never know what can happen..