Jamie Poole
15 Mar 2021 · Coroner Emma Serrano · Stoke-on-Trent & North Staffordshire Coroner's Court
The coroner's concerns
1. inadequate monitoring of post-transplant magnesium levels
“Transplant patients are put on strong immunosuppressive medication to prevent rejection of the transplanted organ. The medication, tacrolimus in [name redacted] case, has a common known side effect of reducing magnesium levels within the body. This can be life threatening. Despite this, it is not standard practice to regularly test transplant patients magnesium levels. I heard evidence at inquest that, whilst the Trust providing care for [the deceased] [name redacted], has now remedied this, and routinely test”