Lactated Ringer's Irrigation Shortage
Last Updated: January 25, 2023
Status: Resolved
Products Affected - Description
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- Lactated Ringer's Irrigation Solution, BBraun, 3000 mL bottle, NDC 00264-7389-60
Reason for the Shortage
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- Baxter had lactated ringer's irrigation on shortage due to increased demand.[1]
- BBraun had lactated ringer's irrigation on shortage due to increased demand.[2]
- Hospira had lactated ringer's irrigation on shortage due to increased demand.[3]
Available Products
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- Lactated Ringer's Irrigation Solution, BBraun, 1000 mL bottle, 16 count, NDC 00264-2203-00
- Lactated Ringer's Irrigation Solution, BBraun, 2000 mL bottle, 8 count, NDC 00264-2203-50
- Lactated Ringer's Irrigation Solution, BBraun, 4000 mL bottle, 4 count, NDC 00264-2203-70
- Lactated Ringer's Irrigation Solution, Baxter, 1000 mL bottle, 12 count, NDC 00338-0114-04
- Lactated Ringer's Irrigation Solution, Baxter, 3000 mL bag, 4 count, NDC 00338-0137-27
- Lactated Ringer's Irrigation Solution, Baxter, 5000 mL 2 count, NDC 00338-0137-29
- Lactated Ringer's Irrigation Solution, Pfizer, 3000 mL 4 count, NDC 00409-7828-08
- Ringer's Irrigation Solution, BBraun, 1000 mL bottle, 16 count, NDC 00264-2202-00
Estimated Resupply Dates
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- Baxter, BBraun, and Hospira have product available to current customers.[1-3]
- BBraun has the 3000 mL bottles for irrigation on allocation.
Implications for Patient Care
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- Lactated ringer's, sodium chloride, and sterile water irrigations are all widely used.[4]
Safety
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- Clinicians may need to utilize different product sizes or packaging if desired sizes are not available.
- Multiple brands of products may be available in the system.
Alternative Agents & Management
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- Make policies to allow substitution of products based on product availability at the site. For example, an organization could choose to allow 0.9% sodium chloride solution to be substituted for lactated ringer's solution. Table 1 provides a comparison of fluid components.
- Evaluate the clinical need for irrigation fluid replacement. Discontinue irrigations when appropriate.
- Use smaller bag sizes when possible.
- Consider reserving some products for specific clinical situations.
Table 1. Comparison of Selected Irrigation Fluids5-6 Product mOsm/L Na (mEq/L) Cl (mEq/L) K (mEq/L) Ca (mEq/L) Lactate (mEq/L) Lactated Ringer's Solution 274 130 109 4 3 28 0.9% Sodium Chloride 308 154 154
References
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- Baxter (personal communications). August 14, November 7, December 12, 2014; June 16, August 11, and October 27, 2015.
- BBraun (personal communications). August 15, November 7, 2014; January 8, 2015; June 16, August 11, and October 27, 2015.
- Hospira (personal communications and website). August 15, November 7 and 26, December 12 and 22, 2014; January 9, March 31, June 16, August 11, and October 27, 2015.
- McEvoy GK, Snow EK, Kester L, Litvak K, Miller J, Welsh OH, eds. AHFS DI (Lexi-Comp Online). Bethesda, MD: American Society of Health-System Pharmacists; 2014.
- Hospira. Lactated Ringer's Irrigation, USP [product information]. Lake Forest, IL: Hospira; 2009.
- Hospira. 0.45% Sodium Chloride Irrigation, USP, and 0.9% Sodium Chloride Irrigation, USP, [product information]. Lake Forest, IL: Hospira; 2009.
Updated
Updated January 25, 2023 by Rachael Freeman, PharmD, BCPS. Created June 16, 2015 by Jane Chandramouli, PharmD, Drug Information Specialist. © 2023, Drug Information Service, University of Utah, Salt Lake City, UT.
Further information
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