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England and Wales High Court (Queen's Bench Division) Decisions |
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You are here: BAILII >> Databases >> England and Wales High Court (Queen's Bench Division) Decisions >> Velarde v Guy's & St Thomas NHS Foundation Trust [2017] EWHC 1250 (QB) (26 May 2017) URL: https://www.bailii.org/ew/cases/EWHC/QB/2017/1250.html Cite as: [2017] EWHC 1250 (QB) |
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QUEEN'S BENCH DIVISION
Strand, London, WC2A 2LL |
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B e f o r e :
____________________
ALEXANDER CHARLES VELARDE |
Claimant |
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- and - |
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GUY'S & ST THOMAS NHS FOUNDATION TRUST |
Defendant |
____________________
Mr Martin Spencer QC (instructed by Bevan Brittan LLP) for the Defendant
Hearing dates: 16th – 26th January 2017
____________________
Crown Copyright ©
The Honourable Mr Justice Langstaff :
Problems in the Evidence
Captopril
Date | Time | Dose | Rate per kg bodyweight |
24/9 | 08.55 | 0.3mg | 0.1 mg |
24/9 | 16.30 | 0.6mg | 0.2 mg |
mg24/9 | 22.00 | 0.9mg | 0.3 mg |
25/9 | 06.30 | 1.2mg | 0.4 mg |
25/9 | 14.15 | 1.5mg | 0.5 mg |
25/9 | 22.20 | 2.0mg | 0.7 mg |
26/9 | 08.00 | 2.2mg | 0.8 mg |
26/9 | 14.00 | 2.8mg | 1 mg (Full dose) |
26/9 | 22.00 | 2.8mg | |
27/9 | 06.00 | 2.8mg | |
27/9 | 14.00 | 2.8mg | |
27/9 | 22.00 | 2.8mg | |
28/9 | 06.00 | OMITTED | |
28/9 | 15.10 | 2.8mg | |
28/9 | 22.00 | 2.8mg |
Within two days and 6 hours, therefore, the rate had escalated from 0.1mg/kilo to 1.00mg/kilo. In the 24 hours between the 25th. and 26th. September it doubled.
"Alexander's birth weight was 2.06 kg; his weight on 16 September 2005 was 3.1 kg. Given Alexander's cardiac condition, is it probable that some of this weight was due to excessive fluid retention? If so, is it possible to state, on the balance of probabilities what percentage if this is within your area of expertise"
Dr. Shineborne responded, in common with Dr. Tometzki, that it was approximately 5%.
Fluid Restriction
"Alexander's birth weight was 2.06kg; his weight on 16 September 2005 was 3.1kg. Given Alexander's cardiac condition, is it probable that some of this weight was due to excessive fluid retention? If so it is possible to state, on the balance of probabilities, what percentage if this is within your area of expertise?"
Sodium 135 – 145 mmol/litre
Urea 2.5 – 7.5 mmol/l
Creatinine 10 – 50 micro-mols/l
Haemoglobin 9.5 – 13.5 g/dl