100cc saline bags?

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FiremanMike

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Does any supplier in the country have 100cc bags available yet? I have no issues ordering 500s and 1000s, just can't get 100s..
 
The technology was lost. We now inflatevrge bladders of sheep and flagellate new hires to fill them with tears.
 
We have 100cc NS bags for Amiodarone drips. Usually we get stuff from McKesson, but I don't know about these bags since they look different (they have foil covering it like prepacked dopamime bags, but the very top is transparent where you can see the color of the saline and expiration date on the bag. I'd have to look.
 
We cannot get them, which we need to reconstitute Cardizem... So I guess Amiodarone is off the bench and in the game.
 
We haven't had a problem, we did have to switch from our normal supplier for 1 liter NS bags for a month or so but our old ones are back (and are both cheaper and much easier to pressure infuse). I suspect that large groups have contracts that they get to purchase first and then the rest is put out on the market.
 
NPO said:
We cannot get them, which we need to reconstitute Cardizem... So I guess Amiodarone is off the bench and in the game.
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Cardizem can be given IV as a bolus over 2 minutes, but that's using 25mg/5mL vials. If all you have are those 100mg vials, you could put 2 of them into a 250 mL bag for a 0.8mg/mL solution...just increase your drip rate by 20% and be ever so vigilant about how much you're infusing. Just, whatever you do, be absolutely certain you're not using the 100mg vials in a direct IV injection.
 
Akulahawk said:
Cardizem can be given IV as a bolus over 2 minutes, but that's using 25mg/5mL vials. If all you have are those 100mg vials, you could put 2 of them into a 250 mL bag for a 0.8mg/mL solution...just increase your drip rate by 20% and be ever so vigilant about how much you're infusing. Just, whatever you do, be absolutely certain you're not using the 100mg vials in a direct IV injection.
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I don't like purchasing 250mL bags of saline because we use 250mL bags of D10 as opposed to D50 for our diabetics. I can easily see a med error happening if we were to carry both.

We're currently using buretrol sets for our infusions (mag, amio, TXA, and epi drips), it'll just have to do until they come back in stock..
 
FiremanMike said:
I don't like purchasing 250mL bags of saline because we use 250mL bags of D10 as opposed to D50 for our diabetics. I can easily see a med error happening if we were to carry both.

We're currently using buretrol sets for our infusions (mag, amio, TXA, and epi drips), it'll just have to do until they come back in stock..
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You could just clearly label the 250cc bags. Or not worry much about the possibility of someone occasionally getting some dextrose that they don't really need.
 
FiremanMike said:
I don't like purchasing 250mL bags of saline because we use 250mL bags of D10 as opposed to D50 for our diabetics. I can easily see a med error happening if we were to carry both.

We're currently using buretrol sets for our infusions (mag, amio, TXA, and epi drips), it'll just have to do until they come back in stock..
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Med errors with making up infusions can be virtually eliminated by using pre-mixed infusions. They're available for just about anything you would need pre-hospital, although of course they're more expensive.

Apparently most low volume IV bags were were made in Puerto Rico. Duh.
 
Remi said:
You could just clearly label the 250cc bags. Or not worry much about the possibility of someone occasionally getting some dextrose that they don't really need.
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Our 2G/250ml Lido bags that we've been getting since we ran out of 2g/500ml however, those worry me a bit. I have them physically separated and heavily sharpied, but still.
 
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