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The Society of Critical Care Medicine’s Drug Shortages Task Force has produced a comprehensive guide for assessing and responding to shortages of sodium acetate injection, concentrated sodium chloride, potassium acetate and chloride injection, phosphate injection, calcium chloride and gluconate injection, and magnesium sulfate injection.
In an era fraught with drug shortages, hospitals are faced with limited options for some vital admixtures. When manufacturers have limited supplies or products are no longer available, hospital pharmacies may be faced with admixing these agents or outsourcing to compounding facilities. Preparation of admixtures is regulated in terms of sterility and stability for optimal patient safety. Providing appropriate drug therapy for patients in the intensive care unit can become problematic when medication supplies run short. Medication compounding may be offered as a method of drug shortage management.
This article was first published in the Winter 2021 issue of Critical Connections. Drug shortages have become pervasive. The ways in which hospitals and hospital systems manage ongoing shortages vary widely across the United States and the world.