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Sodium Chloride 0.9% Irrigation

Last Updated: September 23, 2015
Status: Resolved

Products Affected - Description

0.9% Sodium Chloride Irrigation, Hospira
3000 mL bag, 4 count (NDC 00409-7972-08)

Reason for the Shortage

  • Baxter had 0.9% sodium chloride irrigation on shortage due manufacturing delays.1
  • BBraun had 0.9% sodium chloride irrigation on shortage due to increased demand.2
  • Hospira had 0.9% sodium chloride irrigation on shortage due manufacturing delays and only has product available for existing customers.3

Available Products

0.9% Sodium Chloride Irrigation, BBraun
500 mL bottle, 16 count (NDC 00264-2201-10)
1000 mL bottle, 16 count (NDC 00264-2201-00)
2000 mL bag, 4 count (NDC 00264-7388-50)
2000 mL bottle, 8 count (NDC 00264-2201-50)
3000 mL bag, 4 count (NDC 00264-7388-60)
4000 mL bottle, 4 count (NDC 00264-2201-70)

 
0.9% Sodium Chloride Irrigation, Baxter
250 mL plastic pour bottle, 24 count (NDC 00338-0048-02)
500 mL plastic pour bottle, 18 count (NDC 00338-0048-03)
1000 mL Uromatic bag, 14 count (NDC 00338-0047-44)
1000 mL plastic pour bottle, 12 count (NDC 00338-0048-04)
1500 mL plastic pour bottle, 9 count (NDC 00338-0048-05)
2000 mL Uromatic bag, 6 count (NDC 00338-0047-46)
3000 mL Uromatic bag, 4 count (NDC 00338-0047-47)
3000 mL Arthromatic bag, 4 count (NDC 00338-0047-27)
5000 mL Arthromatic bag, 2 count (NDC 00338-0047-29)
 
0.9% Sodium Chloride Irrigation, Hospira
250 mL bottle, 24 count (NDC 00409-6138-22)
500 mL bottle, 24 count (NDC 00409-6138-03)
1000 mL bag, 12 count (NDC 00409-7972-05)
1000 mL bottle, 12 count (NDC 00409-7138-09)
1500 mL bottle, 9 count (NDC 00409-7138-36)
2000 mL bag, 6 count (NDC 00409-7972-07)

Estimated Resupply Dates

Hospira has 0.9% sodium chloride irrigation in 3000 mL bags on back order and the company estimates a release date in mid-September 2015.

Implications for Patient Care

Sodium chloride, lactated ringer’s, 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 Ringers 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)

0.9% Sodium Chloride

308

154

154

Lactated Ringers Solution

274

130

109

4

3

28

Related Shortages

References

  1. Baxter (personal communications). August 14, November 7, 2014; January 28, March 9, May 4, July 6, and September 17, 2015.
  2. BBraun (personal communications). August 15, November 7, 2014; January 28, July 6, and September 23, 2015.
  3. Hospira (personal communications and website). August 15, November 7, December 2, 2014; January 28, March 9, and May 4, July 6, and September 17 and 23, 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 September 23, 2015 by Jane Chandramouli, PharmD, Drug Information Specialist. Copyright 2015, Drug Information Service, University of Utah, Salt Lake City, UT.

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