Posted December 7, 20177 yr comment_71800 With the national shortage of 0.9% saline, does anyone have a policy in place for allowing other compatible IV solutions to be used for transfusions?
December 8, 20177 yr comment_71803 What other compatible IV solutions? I think 0.9% saline is the only one.
December 8, 20177 yr Author comment_71810 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.
December 9, 20177 yr comment_71811 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?
December 12, 20177 yr comment_71836 We are using Normosol-R. Some facilities are already just using a saline flush post transfusion rather than using a bag of saline.
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