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rpressley
IV fluid shortage

Due to the IV fluid shortage, I was wondering what others are using in place of NS and LR?  We are a smaller hospital.  We are out of NS and almost out of LR.  What are you all using?

lynncrni
Are you having shortages of

Are you having shortages of all IV fluids? The biggest problem has been the shortage of small volume bags (50 or 100 mL) for med dilution. Your options include Med dilution for IV Push, but syringe pump use is safer than manual push. Busy nurses are not going to take the required time to manually push. Patients in home care do this all the time. If you do not have enough syringe pumps, and your volumetric pump allows attachment of syringes, that would work also. You would still need a flush solution to move the residual drug from the pump set into the vein though. Another option is elastomeric balloon pumps, again may add expense. Metered volume chamber sets would be the very last option and not safe. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

rpressley
We have been administering

We have been administering the medication in a syringe via IV pump but the problem now is that we are dangerously low on most fluids.  Has anyone tried Plasma-Lyte A for hydration or fluids during surgery?  We are having to find an alternative to NS and LR

Rpressley RN Team Manager

Outpatient Infusion Clinic

Stillwater Medical Center

Stillwater, Ok

jill nolte
Yes

we have and I’m sure you are already doing this but might reinforce listening to those lungs and watching o2 sats closely.  Hespan can be a tricky one too. get the stethoscope on there!

rpressley
Thank you!

Thank you!

Rpressley RN Team Manager

Outpatient Infusion Clinic

Stillwater Medical Center

Stillwater, Ok

lynncrni
Plasma-Lyte A is a brand name

Plasma-Lyte A is a brand name for a balanced electrolyte solution similar to D5RL. It can be used for hydration. https://www.drugs.com/pro/plasma-lyte-a.html

 

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

lynncrni
To read the most recent

To read the most recent recommendations on managing this shortage of small volume IV fluid containers from the ASHP, go to https://www.facebook.com/LynnHadawayAssociates/ to see a link to their document. Lynn

Lynn Hadaway, M.Ed., RN, NPD-BC, CRNI

Lynn Hadaway Associates, Inc.

PO Box 10

Milner, GA 30257

Website http://www.hadawayassociates.com

Office Phone 770-358-7861

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