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The American Society of Health-System Pharmacists (ASHP) has revised its clinical and operational guidelines regarding the management and conservation of IV fluids.
IV Fluid Shortages
The American Society of Health-System Pharmacists (ASHP) has revised its clinical and operational guidelines regarding the management and conservation of IV fluids. The latest updates introduce new strategies for conserving resources, an FAQ section, and additional links to resources from other healthcare organizations.
In response to ongoing fluid shortages, the FDA has issued temporary policies to assist both 503A and 503B compounding facilities, aiming to enhance their ability to contribute to addressing these shortages. However, while compounding can fill some gaps, it alone will not fully resolve the issue. The FDA’s website includes comprehensive details about these temporary measures, specifically highlighted on their Hurricane Helene resource page.
Key points for healthcare providers include:
The FDA has approved the temporary importation of specific IV products to mitigate shortages, with a list available for reference.
Although product expiration dates have not been extended, the FDA advises hospitals to retain items approaching their expiration and seek stability data from manufacturers like Baxter.
Additional products, such as dextrose 70%, Lactated Ringer’s solution, and peritoneal dialysis fluids, have been added to the FDA’s shortage list.
B. Braun, a significant IV fluid supplier, reported that its facilities in Daytona Beach, Florida, remain operational following Hurricane Milton and will resume regular distribution.
ASHP is committed to providing the most current updates on medication availability post-Hurricane Helene and Milton. Members are encouraged to refer to ASHP’s Drug Shortages Resource Center for ongoing updates, strategies, and webinars focused on conservation practices.
The American Hospital Association and other organizations have also compiled resources to assist with fluid conservation, and the Emergency Prescription Assistance Program (EPAP) has been activated to help uninsured residents affected by the hurricanes access essential prescriptions.