Does your hospital stock iloprost?

[flightdoc09]

For those of you that work the inpatient side, do you have iloprost on formulary? Is this a pretty standard medication for most hospitals? For those that do have it, how much do you stock?

It has recently been approved for severe frostbite, and I'm just curious how common it is, or docs in colder areas of the country should talk to their P&T committees about bringing it on formulary.

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[sunnyandseventytwo]

No, we have Flolan on formulary. Will that work for frostbite? We have a small amount of ice cream production in my vicinity. I see this as the only possible method of contracting frost bite.

 

[flightdoc09]

No, we have Flolan on formulary. Will that work for frostbite? We have a small amount of ice cream production in my vicinity. I see this as the only possible method of contracting frost bite.

Hypothetically, yes. But I don't know that there's data studying it for that purpose. If I was in a pinch, I'd probably try it, along with topical nitroglycerin.

There have been case reports of frostbite from local liquid nitrogen exposure for warts and stuff.

In this case they used sildenafil, nitroglycerine paste, and hyperbaric oxygen therapy to help. Other chemical plants nearby may also have something stored at ultracold temperatures. Never know. Though unlikely to require systemic meds, I would imagine. https://academic.oup.com/milmed/article/190/1-2/e429/7617861

 

[mustang sally]

We do not have it, though I do work in a cold part of the country. Our hospital is pretty rural and small though, so perhaps we are always a little late to the party.

 

[flightdoc09]

We do not have it, though I do work in a cold part of the country. Our hospital is pretty rural and small though, so perhaps we are always a little late to the party.

If y'all get any severe frostbite cases, might be something to bring up to the P&T committee. Seems safer and more effective than tpa.

Here's the protocol that seems to be what we'll be adopting https://yukon.ca/sites/default/files/hss/hss-imgs/whitehorse-frostbite-protocol.pdf

 

[mustang sally]

If y'all get any severe frostbite cases, might be something to bring up to the P&T committee. Seems safer and more effective than tpa.

Here's the protocol that seems to be what we'll be adopting https://yukon.ca/sites/default/files/hss/hss-imgs/whitehorse-frostbite-protocol.pdf

Thanks for the info! I'm going to save this protocol for future reference.