Hi all-
We have had a recent uptick in infusion reactions with Gamunex-C IVIG product at our organization and have reported to FDA MedWatch. I wanted to share with this group and see if others are experiencing similar reporting at their organization. Within a month time span, we have approx. double the amount reports we would typically see in a 12 month span. In reviewing reactions, the most common lot number involved in reactions seems to be 20gm vial size Lot B01J093362.

Hello-does your institution compound finasteride suspension? If yes, would you be able to share the mfr for it? I found some resources suggesting 5mg/50ml in sterile water but wanted to gather more data for it. Thank you!

Hello!
Looking to gather some perspective on other organizational approaches to the scheduling of IV antibiotics (i.e., around-the-clock vs. standard dose times)

Would you mind taking 2 minutes (or less) to complete this Form: https://forms.office.com/r/Cd17y3MAm1

Thanks so much in advance!
Emily

We have a request from our nuc med department to provide a vial of 23.4% sodium chloride for QC testing on one of their kits. Is anyone else doing this? If not, what are you using as an alternative (kit or QC method)?

Additional information:

With Topex meter dose being discontinued, what is everyone switching to?
Our buyers showed us unit dose hurricaine one 0.5 ml- does that meet all provider needs?

Hi everyone! We are in the beginning stages of converting to adopting NRFit connectors across our health system. Has anyone else converted? Interested in any feedback or lessons learned if willing to share! I reviewed this discussion board and it appears this same question was last posed in April 2023 and at that time there seemed to be a lot of facilities interested or in the beginning stages. Thank you!

We have seen an uptick in reactions to Emend, with two in April (1.5% of cases) and four in June (7.7% of cases). Reactions included chest tightness, facial flushing, and itching.

Has anyone else noticed an increased incidence of Emend reactions?

NDC: 72205-083-01
Lot: CSE09034A
Exp: 8/31/27

NDC: 72205-083-01
Lot: CSE10035A
Exp: 9/30/27

Hi all,

Can you share guidance for dilution instructions of oral potassium chloride solution in pediatric patients? Manufacturers of 20 meq/ 15ml formulation recommend diluting in at least 120 ounces of water, which is too much fluid for most of our pediatric patients. What is your current dilution instructions for neonates and pediatric patients?

Thank you in advance,

Mirella Cardarelli

Hi all-

What is your standard workflow for drug library utilization when the patient comes from the OR to recovery? Do you have an "anesthesia mode" on your pumps that allow for no guardrails, and the expectation is that nursing switch over to whatever appropriate care area once in recovery/patient is stable? Or do you have an alternate workflow? Thanks in advance for your thoughts!

Liz Rebo

Hello MSOS Members! For those attending the upcoming ASHP Pharmacy Futures meeting in Charlotte, NC, ISMP's session will be this Sunday 1:30 - 2:30 pm ET in Room E219A Level 2. We will also have an informal meet and greet from 2:45 - 3:45 pm ET in Room 218 Level 2. Hope to see you there!