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  Pharmacy Updates

National IV fluid shortage

by Medical Staff Office on January 28, 2014

Please be aware that the national shortage on saline solutions for IV infusion continues and is expected to remain for some time. Thank you for your efforts to conserve this product and use alternative approaches whenever possible.

Baxter, our IV Solution vendor, has been experiencing shortages on various IV solutions. This is a national issue affecting all fluid manufacturers. We have been able to receive product intermittently, but it has been under constant watch by Supply Chain, Pharmacy and the Vendor Sales Rep. We may need to reach out to have substitute sizes and products approved at some point. If and when those communications are forwarded out to the end users a timely response will help to ensure that Supply Chain can then obtain the substitute product from the vendor.

Below is a statement from Baxter regarding how they are managing the process:

  • Baxter is producing and filling orders daily but demand is exceeding supply on some codes.
  •  We have taken steps to prevent non-contract customers from ordering product.
  • All other critical codes are being pooled at our large warehouse in NY, Atlanta and Memphis.
  • The most critical supply problem is 2B1324X, normal saline 1000ml. As a result of this shortage, customers are subbing 2B2324X Lactated Ringers and D5W which is now backordered.
  •  The smaller sizes of both codes are now stocked out nationwide.
  •  We anticipate the rolling backorders to continue for a few months but each week brings better inventory levels.

Click here for additional Information.

Hospital supply of Sodium Chloride (0.9NS), Dextrose 5% and alternative IV-fluids s.a. Lactated Ringers may be quickly exhausted.

It is recommended that you:

  •  Conserve IV Fluid prescribing when possible – discontinue unneeded IV fluids early.
  • Consider using oral hydration whenever possible.
  • Use smaller bag sizes with low rate infusions when a full liter isn’t needed.
  • Switch to alternate products to match availability. Consider using alternative fluids such as Ringer’s lactate, dextrose containing solutions or lower concentrations of sodium chloride when your patient’s condition allows.
  • Never use saline irrigation solution for intravenous use.

Supply Chain and Pharmacy will continue to provide updates as the situation changes. Please share this with your teams. We appreciate your understanding as we strive to treat our patients during these shortages.

P&T January 2013 Updates

by kswan on April 1, 2013

P&T January 2013 Updates

Dextrose 50% Injection – SHORTAGE

by kswan on February 20, 2013

Dextrose 50% Injection – SHORTAGE

Availability of dextrose 50% vials and pre-filled syringes are on manufacture back order limiting supply here at AAMC and across the country.

Please click here to view details and recommendations.

For questions or interest in being added to the drug shortage distribution list, email Jared Calish, clinical coordinator, at

AAMC Critical Drug Shortage Update as of February 4, 2013

by kswan on February 6, 2013

AAMC Critical Drug Shortage Update for February

Due to a variety of reasons, AAMC is currently facing a shortage of several drugs. Please click here the view the updated list. If you are interested in being added to the drug shortage distribution list, email Jared Calish, clinical coordinator, at

Imminent Shortage of Methylprednisolone Injection

by kswan on January 30, 2013

Due to a variety of reasons AAMC is currently facing a shortage of methylprednisolone injection which is used in various places throughout AAMC. Read more>>


Update as of 4:38pm, January 30, 2013

  • Methylprednisolone and dexamethasone are both critical supply:
  • Pharmacy is nearly out of both methylprednisolone and dexamethasone injection house wide
  • Pharmacy is expecting both products to arrive sometime tomorrow
  • The amount arriving will only help but not resolve the critical shortage of both medications
  • More information will come out once both drugs are in hand
  • Please refer to the chart below to convert from one glucocorticoid to another – a pharmacist may page the prescriber to alert them to change to whatever is on hand as well


Notice from the pharmacy

by kswan on January 16, 2013

Due to a variety of reasons, AAMC is currently faced with medication shortages. The pharmacy department has provided a list of these medications with recommended alternatives. Read more>>

Critical Drug Shortages as of August 22

by medstaff on August 22, 2012

The most critical items are: Erythromycin: A limited amount of vials are left (~15) with none available at the wholesale level at this time. Medications out of stock include atracurium, caffeine benzoate IV, methyldopa IV, pancuronium, phentolamine, prochlorperazine IV, and secretin. Items that have been resolved include foscarnet IV (available on special order), hydromorphone PCA, isosorbide dinitrate (5 and 10mg available, no 20mg tablets), phytonadione IV, and sulfamethozole/trimethoprim IV (Bactrim) with a limited amount available and the IV form still restricted to ID. View the complete shortage list here.

July Pharmacy Shortages Update

by kimbra on July 9, 2012

The most critical items are listed below with the complete list including the ones below attached. Please forward to your colleagues since many may not see this post.

  1. Succinylcholine – supply is limited <200 vials available in house with none available at the wholesale level.  Please consider alternatives and conserve use as much as possible.
  2. Furosemide IV – this shortage affects all sizes.  A recommendation is to use IV bumetanide if needed or oral/liquid furosemide. Currently only a few days’ supply remains on hand with no supply available at the wholesaler and manufacturer level.
  3. Bumetanide IV – limited amount available due to shortage of furosemide. Please try to limit/conserve IV doses and consider oral as needed.  Pharmacy will be drawing up standard doses from bulk vials in the next few days to help provide medication for use.
  4. Morphine and hydromorphone PCA – supply is still limited, please conserve
  5. Medications out of stock include:  atracurium, Foscarnet, lidocaine PF 1.5%, methyldopa IV, pancuronium, phentolamine, prochlorperazine IV, secretin and Bactrim IV
  6. Resolvedchloroprocaine 2 & 3%, methotrexate IV, multivitamin IV, pantoprazole IV, and tetracaine ophthalmic solution.

View the complete shortage list.
Questions, please contact Jared S. Calish, PharmD.; pharmacy clinical coordinator or call 443-481-4833.

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