Approved Hospital Formulary
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Approved Hospital Formulary
02/01/18 JR -- Sodium Phosphate now available
From: Jerry Robinson Pharm.D.
To: Pharmacists
Sent: Wednesday, January 31, 2018 2:23:59 PM
Subject: Fwd: Sodium Phosphate now available
Since sodium phosphate is now available, I wanted to remind you all of a few things concerning TPNs.
A few things to remember:
Watch to make sure the order in iCare and the TPN folder matches for the phosphorus product needed If converting patients back to Sodium Phos from Potassium Phos - adjust KCl amount as needed Always label the Phosphorus type on the TPN form if Potassium Phos being used or when changing back to NaPhos [most choose "K" above the amount of Phosphorus being used] Sodium Phos 3 mmol = 4 mEq Na; watch total Na content in TPN not to exceed 154 mEq/L of Na
With the Sodium Phosphate return, all ADULT electrolyte components listed on the TPN form can be utilized!
As Chris stated, please continue to use NeutraPhos Oral/NG route as possible.
Jerry Robinson, Pharm.D., BCPS
Clinical Specialist STICU/Co-Chairperson, Medication Safety Committee Department of Pharmacy Huntsville Hospital
----- Forwarded Message -----
From: Chris Pamperin
To: Pharmacists
Sent: Wednesday, January 31, 2018 1:19:22 PM
Subject: Sodium Phosphate now available
Sodium phosphate vials are back in stock. You may resume ordering it in TPNs starting tomorrow 2/1. Sodium phos is also available for IVPB boluses, but the fluid shortage hasn't gotten better, so continue to utilize oral phosphorus replacement when appropriate. Let me know of questions, thanks!
Chris
--
Chris Pamperin, Pharm.D.
Pharmacy Sterile Products Supervisor
To: Pharmacists
Sent: Wednesday, January 31, 2018 2:23:59 PM
Subject: Fwd: Sodium Phosphate now available
Since sodium phosphate is now available, I wanted to remind you all of a few things concerning TPNs.
A few things to remember:
Watch to make sure the order in iCare and the TPN folder matches for the phosphorus product needed If converting patients back to Sodium Phos from Potassium Phos - adjust KCl amount as needed Always label the Phosphorus type on the TPN form if Potassium Phos being used or when changing back to NaPhos [most choose "K" above the amount of Phosphorus being used] Sodium Phos 3 mmol = 4 mEq Na; watch total Na content in TPN not to exceed 154 mEq/L of Na
With the Sodium Phosphate return, all ADULT electrolyte components listed on the TPN form can be utilized!
As Chris stated, please continue to use NeutraPhos Oral/NG route as possible.
Jerry Robinson, Pharm.D., BCPS
Clinical Specialist STICU/Co-Chairperson, Medication Safety Committee Department of Pharmacy Huntsville Hospital
----- Forwarded Message -----
From: Chris Pamperin
To: Pharmacists
Sent: Wednesday, January 31, 2018 1:19:22 PM
Subject: Sodium Phosphate now available
Sodium phosphate vials are back in stock. You may resume ordering it in TPNs starting tomorrow 2/1. Sodium phos is also available for IVPB boluses, but the fluid shortage hasn't gotten better, so continue to utilize oral phosphorus replacement when appropriate. Let me know of questions, thanks!
Chris
--
Chris Pamperin, Pharm.D.
Pharmacy Sterile Products Supervisor