Hi, I have a question about NS shortage. So, what do you guys use to substitute? Beside, D5W, IVpush
Normal Saline Shortage
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There's a NSS shortage?
lol.
lol.
Yup and trying to find a solution to it. Right now, just IVPush or D5W .... but trying to see what other hospitals are doing
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owlegrad
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IV push antibiotics, maximize IV to PO conversions
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these are you only options other than changing to PO when at all possible (or getting frozen abx)
PS - Trump will fix it
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Time to buy kilos of salt usp and empty bags and 0.22 uM filters
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Yep, purist water within US borders and cheapest labor. Everywhere else has a bunch of hormones and other junk (Hydrogen Sulfide, Iron, etc.) in it that makes it unsuitable for pharmaceutical grade Sterile Water for Injection USP.
Someone from our hospital looked into this but apparently the empty IV bags were also on shortage.
We have been buying frozen or other premade, and switching antibiotics to IVP or CI over 24 hours if they are stable. IVP will actually save our hospital several hundred thousand dollars a year so a lot of it probably won't get switched back after the shortage is over.
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We were using empty bags at first with a repeater pump. We can't even get the empty bags now.
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owlegrad
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Yeah I suspect that a lot of places are going to figure out that they can save a lot of money if they just keep doing whatever they do for the shortage. I imagine Bruan is going to find the demand for their product has plummeted even once they do get the current shortage fixed.
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The shortage does not pertain to large volumes such as liter bags. It's primarily 50, 100, and 250 mL.
Yes, all of the above recommendations. But there are other options; syringe pump, buretrol, and elastomeric balloon pumps.
Yes, all of the above recommendations. But there are other options; syringe pump, buretrol, and elastomeric balloon pumps.
Isn't that what shut down a lot of Cardinal Health's nuke pharmacies? A persistent molybdenum shortage caused people to change their practice and the business never really bounced back. At least that's how it was explained to me during my summer internship. It was like having a door slammed in my face as I was wrapping up both the didactic and hands-on requirements to become an authorized user.
And here we finally phased out buretrols. Hah.
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That's part of it, when ORNL closed their medical reactor in favor of the Canadian Chalk River almost a decade ago. The other part was simply that imaging has gotten better such that radioisotope usage is on a downward trend anyway. Problem is going to be when Chalk River closes, whether we'll now be depending on Daiichi, KAIST, or Siemens (doubtful as the Germans want their reactors gone too). It would take ORNL something like two-three years to restart production, and that is only if we have the DoE personnel on hand to do it, which we don't right now as they are all working for the Y-12 facility and can't be spared.
