Drug Shortage 0.45% NS Liter Bags 11.27.18

To:            Nursing, Pharmacy, Physician Staff

From:     Maryna Shayuk, Chair Pharmacy and Therapeutics

Alan Mader, Pharmacy Clinical Coordinator

Date:        11/27/18

Re:            Drug Shortage:  0.45% NS liter bags

S

Situation

0.45% NS in liter bags have been placed on shortage at this time.
B

Background

This shortage was unexpected and was announced today.
A

Assessment

Substitution during this shortage will be necessary
R

Recommendation

Pharmacy will utilize the following plan to substitute orders written for 0.45% NS:

0.45% NaCl to 0.9% NaCl – for pre & post-surgery.

If patient is hypernatremic, substitute with Lactated Ringers.

All other orders call MD.

Pharmacy services will place “Substituted for ________” in the comment section of the Paragon order so that nursing is aware of the change.