To: Nursing, Pharmacy, Physician Staff
From: Maryna Shayuk, Chair Pharmacy and Therapeutics
Alan Mader, Pharmacy Clinical Coordinator
Re: Drug Shortage: 0.45% NS liter bags
|0.45% NS in liter bags have been placed on shortage at this time.|
|This shortage was unexpected and was announced today.|
|Substitution during this shortage will be necessary|
|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.