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National Shortage of Normal Saline
AllNurses.com ^ | Jan 9, 2014 | MadWife2002

Posted on 01/11/2014 1:13:07 PM PST by bkopto

How is this shortage of Normal Saline going to affect your facilities?

I hear that Baxter may have production levels back to normal on the 17th January? This has the potential to be detrimental to our dialysis patients.

Fresenius are also experiencing a shortage of saline

Are your facilities making back up plans?

I hear that hospitals will be affected too!

Some of the units I work with use a vast amount of Normal saline per day

What I want to know is how are these 'drugs' in short supply?

Normal Saline, seriously how can this happen!

(Excerpt) Read more at allnurses.com ...


TOPICS: Government; Health/Medicine
KEYWORDS: drugshortages; saline; salinesolution
Normal saline is the oxygen that hospitals and any and every medical facility uses. I'll give you one guess who is behind this shortage: the .gov @$$H----s

The following is from the National Renal Administrators Association:

"Many of our members have received notice from Fresenius Medical Care of North America regarding the critical shortage of normal saline. Due to Customs import detention issues by the Food and Drug Administration (FDA), they are unable to meet the current demand for normal saline.

"As you may know, normal saline is an essential component in the treatment of patients requiring life-sustaining dialysis therapy. The interruption in the supply of this product will affect the treatment of and access to care for ESRD patients across the country."

(from http://origin.library.constantcontact.com/download/get/file/1107293291594-111/NRAA+-+Saline+Shortage+-+FDA+-+2013-09-17.pdf )

The following is from an email the pharmacist at my hospital sent to everyone:

"The Normal Saline (NS) shortage continues. Thank you for all your hard work and diligence to reduce our usage.

• Please continue to use Lactated Ringer’s or other IV fluids if clinically appropriate. Pre-mixed fluids of NS containing potassium and D5 are available also.

• Because of the impact this has on the supply of all IV fluids, please discontinue IV’s and TKO IV’s as appropriate

• NS in 250 mL bags are available to the floors to utilized for boluses and urgent/emergent situations.

Additional updates will be sent as more information becomes available. Please contact me if you have any questions or concerns.

Your conservation efforts are greatly appreciated."

Thanks .gov!

1 posted on 01/11/2014 1:13:07 PM PST by bkopto
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To: bkopto

Probably gleeful Obama aids holding up deliveries to punish states with governors not subscribing to Medicare expansion. IVgate.


2 posted on 01/11/2014 1:19:59 PM PST by gusopol3
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To: bkopto

With very few exceptions most of the calamities of starvation or deprivation have been caused by communist policies. That includes the shortage in this country of flu vaccine. Probably 100,000,000 deaths in the twentieth century were caused by deliberately bad policies, the Russian wheat shortage, for example.

Policies are not generally intended to cause calamity. But that is the result. It’s always the result when people who don’t understand economies try to make them work the way they think they should work rather than how they do work.


3 posted on 01/11/2014 1:20:09 PM PST by Gen.Blather
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Comment #4 Removed by Moderator

To: Gen.Blather

That was what happened when the farms were turned over to the peasants, instead of the land owners who knew how to farm.


5 posted on 01/11/2014 1:23:09 PM PST by LukeL
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To: bkopto
Due to Customs import detention issues by the Food and Drug Administration

Has me thinking of unacceptable or even dangerous Chinese imports unless I'm reading between the lines wrong.

6 posted on 01/11/2014 1:25:24 PM PST by Hillarys Gate Cult (Liberals make unrealistic demands on reality and reality doesn't oblige them.)
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To: LukeL

“That was what happened when the farms were turned over to the peasants,”

They weren’t really turned over. Those peasants in Russia were on a tight leash. It was the over control and the loss of a real a marketplace that destroyed the farms. But the Ukrainian disaster was deliberate by Stalin to get rid of the kulaks. Twenty million died.


7 posted on 01/11/2014 1:26:18 PM PST by Gen.Blather
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To: Gen.Blather

They were all but slaves


8 posted on 01/11/2014 1:28:21 PM PST by GeronL (Extra Large Cheesy Over-Stuffed Hobbit)
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To: bkopto

Why are we importing Saline?
Salt water? W-T-F America?

Something really wrong here folks when we can’t even make salt water.


9 posted on 01/11/2014 1:30:23 PM PST by Macoozie (1) Win the Senate 2) Repeal Obamacare 3) Impeach Roberts)
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To: Hillarys Gate Cult

Not enough information in the article so I did a search.
According to a pharmaceutical site, Yup, bad Chinese stuff.


10 posted on 01/11/2014 1:32:12 PM PST by Cold Heart
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To: Macoozie

You also are correct. Sum Ting Wly Wong


11 posted on 01/11/2014 1:34:02 PM PST by Cold Heart
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To: Hillarys Gate Cult
I suspect it's just another way to "thin the herds" of all those elderly conservative speed bumps on the road to our glorious future:
- Don't need breast cancer screening so often.
- PSA testing too expensive. Just do the digital exam every two years.
- Limit the number of Mohs surgeries.
- Only two heart catheterizations per customer, please!
- How about a little end of life counseling?
12 posted on 01/11/2014 1:36:07 PM PST by PowderMonkey (WILL WORK FOR AMMO)
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To: PowderMonkey

Plus…
- 18 years between autoclave cleanings of surgical instruments.


13 posted on 01/11/2014 1:38:15 PM PST by ProtectOurFreedom
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To: bkopto

Use coconut water instead, problem solved.


14 posted on 01/11/2014 1:38:23 PM PST by BushCountry (Obama: The dentist told me I need a crown. I was like I KNOW, RIGHT?)
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To: bkopto

Find that 40 S&W ammo, and you will find the saline.


15 posted on 01/11/2014 1:39:55 PM PST by Scrambler Bob ( Concerning bo -- that refers to the president. If I capitalize it, I mean the dog.)
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To: FReepers
Insure FR's Future!
Become A Monthly Donor


Click The Pic To Donate


16 posted on 01/11/2014 1:39:57 PM PST by DJ MacWoW (The Fed Gov is not one ring to rule them all)
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To: bkopto
Rampart:“51 start an IV normal Saline and keep her on 80L of O2… Transport"

Squad 51: " Can not do Rampart are we have no Norman Saline, but we do have is a box of Sea Salt."

17 posted on 01/11/2014 1:43:18 PM PST by Kartographer ("We mutually pledge to each other our lives, our fortunes and our sacred honor.")
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To: ProtectOurFreedom

Where was this?


18 posted on 01/11/2014 1:44:07 PM PST by Cold Heart
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To: Macoozie
I guess others are just making the saline that American refuse to make? Why would we depend on imports of something so simple and so vital?
19 posted on 01/11/2014 1:48:08 PM PST by chickenlips (Karl Rove: The Donut Whisperer)
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To: bkopto
Shortage of Normal Saline, seriously how can this happen!

Especially with global warming and the sea levels on the rise.

20 posted on 01/11/2014 1:48:50 PM PST by Uncle Chip
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To: Revolting cat!; LucyT

21 posted on 01/11/2014 1:51:11 PM PST by Slings and Arrows (You can't have Ingsoc without an Emmanuel Goldstein.)
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To: bkopto

http://www.nephrologynews.com/articles/109760-fresenius-announces-shortage-of-1-liter-normal-saline-product

Fresenius announces shortage of 1-liter normal saline product
September 18, 2013

“Fresenius Medical Care North America announced that there is a temporary shortage of its 1-liter normal saline product. Because of its high market demand the, Fresenius Medical Care 1-liter 0.9% sodium chloride saline product (SKU: 060-10109) is in short supply. The shortage is the result of an issue with customs affecting their production facility in Guadalajara, Mexico, which normally handles the increased demand for the product.

Fresenius said it has implemented a new order entry control and are also investigating secondary suppliers. Orders will be limited to one week’s worth of product at a time based on historical ordering patterns unique to each business, Fresenius said. “We anticipate this being a short-term issue and that we will be able to return to standard ordering procedures within the next few weeks,” according to a memo from Fresenius.

The National Renal Administrators Association sent a letter to the U.S. Food ad Drug Administration encouraging them to help make sure the matter is resolved safely and expeditiously. In response, the FDA stated their belief that the shortage issue has been resolved. The NRAA encourages members to continue to look for alternative sources of saline while the resolution process is taking place.”

FOUR MONTHS ago!?!

FDA heads need to roll. If there are problems with this particular supplier the the FDA should have others ready to meet the need. What did they do, turn the problem over to FEMA?


22 posted on 01/11/2014 2:05:07 PM PST by BwanaNdege
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To: BushCountry

Are you serious? “Coconut water?”


23 posted on 01/11/2014 2:17:38 PM PST by goodnesswins (R.I.P. Doherty, Smith, Stevens, Woods.)
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To: Macoozie

just the other day I came across an article tying a middle eastern company named Hikma with Baxter pharm. I’m not one that follows business news but this didn’t sit well with me.
www.ft.com/cms/s/0/9bd16636-e381-11df-8ad3-00144feabdc0.html


24 posted on 01/11/2014 2:21:20 PM PST by wtd
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To: bkopto

Cue Roberta Flak.


25 posted on 01/11/2014 2:26:06 PM PST by 1010RD (First, Do No Harm)
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To: Cold Heart
6 days ago on FR…

Miramichi Regional Hospital, Horizon Health Network, New Brunswick, Canada

My mistake. It was 14 years, not 18 years. So it wasn't really as bad as I made out.

Officials grappled with whether to inform public about unsterilized forceps

26 posted on 01/11/2014 2:35:32 PM PST by ProtectOurFreedom
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To: chickenlips

You can make it at home:

How to Make Normal Saline
This recipe for normal saline will save you money and allow you to fix the
amount you need. Other names for this solution are boiled salt water, sodium
chloride 0.9% solution, or isotonic sodium chloride. Normal saline is used for
cleaning wounds, suctioning, tracheostomy care and other treatments.
Supplies:
C Table salt (plain, not iodized) C Sterile jar with lid C Measuring cup
C Measuring teaspoon C Pan with lid C Timer or clock
Steps to follow:
C Wash your hands well with warm water and soap. Rinse with warm water and
dry.
C Get your supplies together.
C Wash the pan and lid with mild soap and water. Rinse well with water.
C To make one (1) quart (32 ounces or 1000 ml), measure 4 cups of tap water
and pour it into the pan.
C Add 2 level teaspoons of table salt to the water.
C Cover the pan. Bring the water to a boil and boil for 15 minutes. Be sure to
keep the lid on the pan.
C Remove the pan from the heat. Keep the lid on the pan while the normal saline
cools to room temperature.
C Pour the normal saline into a sterile jar. Close the jar tightly with a sterile lid.
C Label the jar with the date and time the normal
saline was made. Also mark the date and time
you should throw away or discard any that is
left in the jar. This would be 48 hours after
you open the jar. Here is an example of a
label:
C Throw away unopened jars of normal saline one month after you prepared
them.

Department of Nursing
The Ohio State University Medical Center


This is from a home nursing guide for patients. Just google how to make normal saline. It is a .pdf


27 posted on 01/11/2014 2:38:32 PM PST by reformedliberal
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To: BushCountry

“Use coconut water instead, problem solved.”

Really?...You first, let us know how it works out for you.....if you survive.


28 posted on 01/11/2014 2:40:51 PM PST by nvscanman
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The sodium chloride used in IV solutions must be 100% pure. It also must be low iron. USP rules. A liter of NS costs about eighty cents.


29 posted on 01/11/2014 2:43:11 PM PST by GRRRRR (He'll NEVER be my President, FUBO! Treason is the Reason! Impeach the Kenyan)
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To: Scrambler Bob
Find that 40 S&W ammo, and you will find the saline.

Here's the .40 S&W, now if you could just find me some .22LR that's not outrageously priced...
30 posted on 01/11/2014 2:45:47 PM PST by Tailback
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To: Tailback; Scrambler Bob

Oops, forgot the link

http://www.gunbot.net/ammo/pistol/40sw/


31 posted on 01/11/2014 2:46:39 PM PST by Tailback
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To: bkopto

I see a commenter already noted that this opens the door to low (or no) quality Chinese imports.
But reading about how people have been turned away from hospitals without treatment because of Obamacare snarls that make obtaining authorization impossible, and now saline shortages, I wonder if they are trying to “prove” that Obamacare cuts costs? Or create a firestorm of complaints that they “offer” to solve with single payer? Or all of the above.


32 posted on 01/11/2014 3:15:01 PM PST by ransomnote
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To: Macoozie

Only uneducated guess I can make: Perhaps because there is so no money in it?


33 posted on 01/11/2014 3:29:55 PM PST by PghBaldy (12/14 - 930am -rampage begins... 12/15 - 1030am - Obama's advance team scouts photo-op locations.)
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To: Slings and Arrows; MestaMachine; Old Sarge; shibumi; Michael Barnes; Mossad1967; brucecw; ...

National Shortage of Normal Saline

Thanks, Slings and Arrows.

34 posted on 01/11/2014 4:01:00 PM PST by LucyT ( If you're NOT paranoid, you don't know what's going on.)
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To: LucyT
Cheese and crackers...just take your saline bags down to the Atlantic and fill-er-up.

People are so fussy nowadays.;-)

35 posted on 01/11/2014 4:25:52 PM PST by RoosterRedux (The only true wisdom is in knowing you know nothing -- Socrates)
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To: LucyT

Oh, I shed a tear....


36 posted on 01/11/2014 4:31:04 PM PST by Vendome (Don't take life so seriously-you won't live through it anyway-Enjoy Yourself ala Louis Prima)
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To: bkopto

I would suspect someone has developed a method of turning it into some type of drug that can be smoked, snorted, or shot up, thereby causing the shortage.


37 posted on 01/11/2014 5:26:05 PM PST by RetiredTexasVet (It's difficult to differentiate between a hog calling contest and a Senate rollcall.)
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To: ProtectOurFreedom

10-15 years ago the VA was not cleaning their biopsy equipment and a lot of people, including my dad, got false positives for prostate cancer. I will never get a biopsy on my prostate.


38 posted on 01/11/2014 5:38:45 PM PST by Cold Heart
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To: Tailback

Had a shootin’ match this morning. Seven shooters. 40 rounds plus sighters, each. 22LR. Felt just like fueling up a yacht with 7000 gallons of fuel.


39 posted on 01/11/2014 5:41:04 PM PST by Scrambler Bob ( Concerning bo -- that refers to the president. If I capitalize it, I mean the dog.)
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To: reformedliberal

That recipe might be fine for wound irrigation and so forth, but I would not want to use it for IV or sub-Q indications. It isn’t pH buffered, and probably not sterile (15 minutes of boiling will not kill spore forming bacteria, and pouring it in your kitchen has a high chance of contaminating it). I also doubt that most patients are trained in sterile technique.

I would suggest keeping the prepared containers in the dark in a cool place. I don’t necessarily recommend putting them in the fridge, since the fridge would inhibit (most) bacterial growth, but not fungal growth, and most home fridges are not routinely disinfected.


40 posted on 01/11/2014 6:03:02 PM PST by exDemMom (Current visual of the hole the US continues to dig itself into: http://www.usdebtclock.org/)
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To: ransomnote

FYI, there have been various prescription drug shortages for (IIRC) a few years now. It looks to me like the shortages are expanding to include more common items now.

Don’t we just love when government steps into the business of trying to control supply and demand? < /sarc >


41 posted on 01/11/2014 6:06:31 PM PST by exDemMom (Current visual of the hole the US continues to dig itself into: http://www.usdebtclock.org/)
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To: exDemMom

All good points. I did question if it could be used IV, but was posting quickly before we left for the evening.

It just is incomprehensible that we do not have domestic producers (plural) of something so commonly used.


42 posted on 01/11/2014 7:05:52 PM PST by reformedliberal
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To: nvscanman; goodnesswins

Wasn’t a 100% serious, but coconut water I think was used also in Vietnam in a pinch. Below is excerpt about its use:

Coconut water can be used for a variety of medical purposes, one of which is intravenous re-hydration. A 2000 report tells of a stroke patient in the Solomon Islands who was too ill to drink or use a nasal tube but was successfully re-hydrated with a coconut-water IV when no other fluids were available. Emergency coconut IVs were reportedly used by the British and Japanese during World War II, and they’ve been clinically tested on humans several times to see how well they’d be tolerated. Answer: overall, pretty well.


43 posted on 01/12/2014 4:42:12 AM PST by BushCountry (Obama: The dentist told me I need a crown. I was like I KNOW, RIGHT?)
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To: nvscanman

Coconut water is an isotonic solution (very important) and could be used in emergency in the field when away from other sources of iv fluid.


44 posted on 01/30/2014 8:06:58 AM PST by TheWeepingProphetJ
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