Is anyone using CVVH fluids to prime CVVH lines due to the current fluid shortage? We typically use Fresenius Next Stage CVVH solution, which recommends saline for priming, but some providers are now requesting to use CVVH fluids instead. Are there any safety concerns with this practice, or has anyone else implemented this approach?

Thanks,
Harriet

Historically we have always given IV methocarbamol via IVPB rather than IV push. With the fluid shortages, one of the pharmacists inquired if we should consider IV push. The recommended rate from the PI is 300mg/min. Does anyone have good experience with giving methocarbamol IV push?

How do your nursing team hang/administer Mannitol from the vial? It does not come with a hanging "tab". The company wasn't able to provide any information.

Hi All,
We have restricted IV fluid use in light of the current situation with Baxter. Our surgeons have started using albumin due to this. Is anyone using albumin as a strategy/alternative to IVF and if so, what restrictions/criteria have you put in place for its use in this scenario?

Thanks,
Harriet

Hello everyone,

Hi,
Do any organizations keep Cardioplegia in an CV-OR refrigerator-linked ADC?
Thanks so much!

Good morning,

Do any organizations use multiple insulin sliding scales, for example, daytime vs night-time? If so, how is this implemented through your EMR and have you implemented any strategies to prevent errors with multiple orders?

Thank you so much for your time!

Hello all,

We have a problem with expired medications being found in Pyxis due to the wrong date being entered. We are working on changing some of our workflows and wanted to see if this problem is just at our institution or if others are also experiencing it. And if you are not experiencing, could you share your workflow for your Pyxis outdated and refill process. Thank you for your time.

Hi all,

We are updating our BD Alaris hardware and have noticed in the specs provided that the minimum infusion/flow rate for any syringe size greater than 10 mL is 1 mL/hr (see attached). We use 20 or 30 mL syringes for many of our NICU/PICU infusions with titrations or ordered rate changes that decrease the rate below 1 mL/hr.

Has anyone dealt with this issue? Any solutions other than changing all of these infusions to 10 mL (or less) syringes?

Thanks,
Walton Gibbons

Hot topic given the recent NC Baxter plant news. Besides the ASHP 2014 IV Solution Conservation Strategies, anyone willing to share some best practices or lessons learned?
Reference:
https://www.ashp.org/-/media/assets/drug-shortages/docs/drug-resources-c...,