7 day BUD for IV insulin batches

[Hospital Pharmacist]

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We've recently been looking into batching insulin and using a 7 day expiration date. The only data we have to support this at the moment is a small study done at Brigham and Women's Hospital. Other than that, there seems to be little supporting data out there. Do you know who else does this, and what data they base it on?

 

[rxlea]

We did 7 day expiration on insulin...

Teaching hospital in the southwest.

 

[rx2010]

Are you referring to insulin drips? We batch insulin drips at our hospital and give it a 7 day expiration when kept in the refrigerator, and give it 24 hours at room temp.

 

[Hospital Pharmacist]

Thanks for responses. Do you have any literature/data to back this up? What type of bag are you putting the insulin drips in?

 

[rx2010]

Thanks for responses. Do you have any literature/data to back this up? What type of bag are you putting the insulin drips in?

I don't have any literature, this is just what my institution does. We have a chart with all the drips we make with the concentrations and expiration dates (not sure where they got the information from). I just checked Lexi and it says the drips are stable for 48 hours at room temperature and refrigeration. We put them in the usual Baxter PVC bags.

 

[Its Z]

IV insulin mixed using reg insulin is cheap. I can see giving it 48 h for nursing convenience of removing 24 hours after hung.

Yet pt on IV insulin are critical.

Hope 7 day expiration isn't for cost savings.

 

[Sparda29]

We do 24 hour expiration dates on IV insulin.