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Lactated Ringer's Irrigation

Last Updated: October 27, 2015
Status: Resolved

Products Affected - Description

All presentations are currently available

Reason for the Shortage

  • 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

Lactated Ringer's Irrigation Solution, BBraun
1000 mL bottle, 16 count (NDC 00264-2203-00)

2000 mL bottle, 8 count (NDC 00264-2203-50)
4000 mL bottle, 4 count (NDC 00264-2203-70)
 
Lactated ringer’s irrigation, Baxter
1000 mL bottle, 12 count (NDC 00338-0114-04)
3000 mL bag, 4 count (NDC 00338-0137-27)
5000 mL 2 count (NDC 00338-0137-29)
 
Lactated Ringer's Irrigation Solution, Hospira
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

Baxter, BBraun, and Hospira have product available to current customers.1,2,3

Implications for Patient Care

Lactated ringer’s, sodium chloride, and sterile water irrigations are all widely used.4

Safety

  • 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

  • Make policies to allow substitution of products based on product availability at the site. For example, an organization could choose to allow lactated ringer’s solution to be substituted for 0.9% sodium chloride 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)

Dextrose (g/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

 

Related Shortages

References

  1. Baxter (personal communications). August 14, November 7, December 12, 2014; June 16, August 11, and October 27, 2015.
  2. BBraun (personal communications). August 15, November 7, 2014; January 8, 2015; June 16, August 11, and October 27, 2015.
  3. 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.
  4. 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.
  5. Hospira. Lactated Ringer’s Irrigation, USP [product information]. Lake Forest, IL: Hospira; 2009.
  6. Hospira. 0.45% Sodium Chloride Irrigation, USP, and 0.9% Sodium Chloride Irrigation, USP, [product information]. Lake Forest, IL: Hospira; 2009.

Updated

Updated October 27, 2015 by Michelle Wheeler, PharmD, Drug Information Specialist. Created June 16, 2015 by Jane Chandramouli, PharmD, Drug Information Specialist. Copyright 2015, Drug Information Service, University of Utah, Salt Lake City, UT.

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