Longterm dextrose 50% emergency syringe shortage

Shortage management proposal: consider D10W, 250 mL equivalent to D50W, 50 mL for adults

1. Add D10W (125 mL) as an alternative option to D50W (25 mL) on the HOSP Hypoglycemia Treatment Orders Powerplan; the order will contain a comment that it may be used if D50W is not available; D10W, 250 mL bags will be loaded into Pyxis machines in select areas for immediate availability.
2. Allow pharmacists to interchange D50W orders to D10W (equivalent glucose dose in grams), if D50W is not readily available (such as at Madison Hospital overnight when the pharmacy is closed); Main Hospital is preparing D50W syringes in PSP – these syringes are short-dated and are not loaded into Pyxis; they are tubed to the patient care area as needed.

Dextrose 10% or higher concentration:

Category A Vesicant: See Management of Extravasation of Irritant and Vesicant Drugs (Non-Chemotherapy) - ADULTS and Management of Extravasation of Irritant and Vesicant Drugs (Non-Chemotherapy) PEDIATRIC

Powerplans: HOSP Vesicant Extravasation Management Orders and PEDS Vesicant Extravasation Management Orders

Reviewed: 28 January 2020 (D50W shortage)

• Micromedex
• UpToDate
• Lippincott Advisor