Approved Hospital Formulary
Add Formweb to your mobile device
Approved Hospital Formulary
07/30/20 dc Concentrate Sodium Chloride
August 6, 2020
From: "David Collette" <david.collette@hhsys.org>
To: "grp allpharm" <grp_allpharm@hhsys.org>
Sent: Thursday, July 30, 2020 3:59:25 PM
Subject: concentrated sodium chloride
We are unable to obtain a reliable supply of concentrated sodium chloride and must take steps immediately to conserve our dwindling supply. Please help conserve our supply by:
Thank you in advance for your immediate attention to this matter. We will keep you apprised of the status of concentrated sodium chloride and any further steps
- using sodium ACETATE in adult TPNs whenever possible (it may be all that we have soon!) - generally, if your patient is not having acid-base issues requiring ABGs, use sodium acetate
- contacting the prescriber (generally, nephrology) when orders are received for 1/4 NS (which requires compounding with concentrated saline) and see if 1/2 NS is an option; another option might be alternating D5W with 1/2 NS. If you verify an order for 1/4 NS, expect a call from PSP asking if this has been double-checked with the prescriber and is absolutely unavoidable.
I spoke with Dr. Larry Walker today (chair of P&T and a nephrologist) and his is OK with these options, but would suggest calling the prescriber before switching 1/4 NS to another option.
Thank you in advance for your immediate attention to this matter. We will keep you apprised of the status of concentrated sodium chloride and any further steps