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Shortage of 0.9% saline for transfusions

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The technical manual says there are exceptions to normal saline if they've been FDA approved for transfusion. It lists Plasma-Lyte and Normosol-R as well as ABO compatible plasma and 5% albumin. I have no experience with the Plasma-Lyte or Normosol solutions.

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Our hospital did a good job of sequestering the available saline and saving it for specific uses last time this happened.  Pharmacy kept track of it and did a good job keeping enough available for transfusion and other saline specific uses.  They used some of the other solutions to replace saline use for reasons other than transfusion where they could.  Maybe that would be a better/safer way to go?

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