CHA News Article

Recommendations Available for Managing Current IV Fluid Supply Shortage

CHA is receiving reports from hospitals regarding the current commonly used IV fluid supply shortage, consistent with those reported across the nation since late last year, as described in January’s ISMP Medication Safety Alert. The shortages involve liter bags of 0.9 percent sodium chloride injection (0.9% NaCl). Supplies of lactated ringers injection and five percent dextrose and water injection are also running low. To help safely meet the needs of patients who require IV hydration, refer to recommendations listed in the ISMP report as outlined by the American Society of Health System Pharmacists. The Office of the Assistant Secretary for Preparedness and Response also continues to monitor the issue closely and has identified additional information about the shortages and guidance to hospitals.

Resources include:
1. The Food and Drug Administration’s current drug shortages web page and statement on IV fluid shortage.

2. The American Society of Health-System Pharmacists list of current drug shortages. Information specific to 0.9 percent sodium chloride for injection can be found here.

3. The Association of State and Territorial Health Officials’ (ASTHO) 2012 report Coping with and Mitigating the Effects of Shortages of Emergency Medications. A specific resource to consider when planning and implementing contingency measures for medication shortfalls, the report presents a framework for mitigating medication shortages considering the legal, ethical and practical context.

CHA’s Medication Safety Committee is closely monitoring reports and will continue to update members with new information and resources.