Severe IV fluid shortage threatens hospital and health care in the US | |
Anonymous Coward User ID: 57520316 United States 06/14/2014 06:39 PM Report Abusive Post Report Copyright Violation | |
Anonymous Coward User ID: 58385438 United States 06/14/2014 07:07 PM Report Abusive Post Report Copyright Violation | [link to www.kvsupply.com] Order here? |
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Anonymous Coward User ID: 11121291 United States 06/14/2014 07:20 PM Report Abusive Post Report Copyright Violation | Anyone with a brian would have bagged up the fluids and made separate vials of solutes to make whatever you needed by adding a container of this or that as needed. The liability due to a nation of criminals, ignoramuses and deviates seeking to harm others makes that not so viable an idea due to potential for error or tampering, intentional or otherwise due to idiocracy. There is no reason for bags of fluid to be unavailable when they sell bottles of vastly overpriced drinking water at every corner. |
capperho
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Shustah
User ID: 59161037 United States 06/14/2014 08:10 PM Report Abusive Post Report Copyright Violation | Last Edited by Shustah on 06/14/2014 08:11 PM |
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Anonymous Coward User ID: 14010048 United States 06/14/2014 09:02 PM Report Abusive Post Report Copyright Violation | Well, I guess we will have to go back a few years & the hospital pharmacies & pharmacists will have to dig out the laminar air flow machines & make their own Normal saline solution & use reusable GLASS bottles that can be autoclaved & tell the IV manufacturers to eat shit & drop dead. There's a lot of small accredited compounding pharmacies that are perfectly capable of picking up the slack. WTFU ......Do you think IV fluids ALWAYS came in disposable plastic bags? Well, slap up side the head.....they didn't. The hospital pharmacy use to be a REAL hospital pharmacy. D5, Lactated Ringers, 1/2 Normal Saline & Normal Saline was but a few steps away. Sterile Water + Sodium = Normal Saline Sterile Water + Dextrose = D5 Sterile Water + Sodium, K+, Chloride + Lactate + Ca++ = LR I'm getting so old I remember when we used REAL instruments & not this Chinese disposable junk during surgery. Real linen,not paper & plastic. It was much more cost effective, much more precise & we knew it was sterile. So there ya go! I am not worried, the formulas have not been lost & they are fast & easy to make! But if you insist on buying it from China, you just might run our! Get a friggin life! |
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emerald eye
(OP) Keeping an "eye out" for the truth. User ID: 57762252 United States 06/16/2014 11:57 AM Report Abusive Post Report Copyright Violation | Wow, thanks for the pin beeches, sorry I missed it, I was out of town for the weekend in an area without cell or Internet service. To answer some of questions and comments: Yes the saline solution is simple and made from readily available materials (salt and water). The recipe is not that difficult, (I gave the recipe earlier in the thread) the difficulty is making the solution sterile enough for IV infusion and preserving that sterility. For example, it is easier to kill bacteria than to kill bacterial spores and viruses. Therein lies the problem, not in mixing the solutions per say. An individual pharmacist, chemist, or other knowledgeable individual may be able to mix the solution in small batches, but not in the amounts required for most hospitals clinics, EMTs, and Fire Departments. “But can salty water really be that hard to come by? Kennedy pays $1.57 per bag. Why can’t drug companies just whip up some more? “To make one of these drugs is very complex, even though the drug itself is simple,” said Valerie Jensen, the director of the drug shortage program at the Food and Drug Administration. “It takes about three weeks to make one batch of normal saline from start to finish.” She says the key challenge is making sure saline products are sterile. If you swallow a pill with a little bit of dirt on it, you’ll be fine. But if a nurse injects saline into your vein that’s even a little bit contaminated, you have a big problem. More than 30 steps and a range of supplies are involved in producing sterile saline. Jensen says FDA inspectors have reason to keep a close eye on any drug injected intravenously.” [link to blogs.kqed.org] To the people who said, “It’s a form of control”, you are absolutely correct. The problem is that without this one simple ingredient being provided for them, hospitals and clinics would become overwhelmed by trying to produce it for themselves. Then there is the liability issue if someone became sick or infected from a product that did not met normal production standards, the hospital or institution in question would be sued into oblivion. As for the link to Kv supply, they are a veterinary supplier. Hospitals and clinics would not normally order from a veterinary supplier, although I wouldn't see any problems with the products. I did a similar thread on veterinary antibiotics a while back. If there are any veterinarians out there, you may want to consider ordering a supply of IV fluid bags, if they are still available. A prescription is required to order the IV solutions according to their website. [link to www.kvsupply.com] There might be a few other veterinary suppliers out there, but this won’t solve the problem, and these supplies are finite, and probably wont last long. Thanks for the link, though and green to you my friend. P.S. I love how those who claim “BS” fail to provide any links, I provided mine. This story is not a secret; it is just not common public knowledge. It has been an ongoing problem for months now, with no improvement in sight. I would encourage all of you to do a little digging and research on your own if you don’t believe the validity of this. Also, it isn't just IV solutions. Some links to get you started: [link to www.jems.com] [link to www.fda.gov] Thanks again, and hugs to all of my GLP friends. Last Edited by emerald eye on 06/16/2014 11:59 AM Courage forges a path through all obstacles, while fear is the obstruction of all dreams. The only way that anyone gets something for nothing, is that someone else has given up something for nothing. |
Anonymous Coward User ID: 54946162 United States 06/16/2014 12:36 PM Report Abusive Post Report Copyright Violation | [link to www.fda.gov] Why is there so much demand for saline, are a lot of people having diarrhea? [link to www.fda.gov] Sustained heavy demand. Customer allocations set at 100% of historic usage. |
emerald eye
(OP) Keeping an "eye out" for the truth. User ID: 57762252 United States 06/16/2014 01:27 PM Report Abusive Post Report Copyright Violation | See if your drugs are MIA here: Quoting: zenobiaphobia [link to www.fda.gov] Why is there so much demand for saline, are a lot of people having diarrhea? [link to www.fda.gov] Sustained heavy demand. Customer allocations set at 100% of historic usage. The FDA website lists and follows most of the drug shortages that the FDA must track. The FDA also allows for the importation of some critical shortages. It is not enough to meet the need, but every little bit helps. This is a letter from Fresenius Kabi, a European supplier. [link to www.fda.gov] As to why there is increased demand, nobody has provided a adequate explanation. First in December, January, February it was flu season. Now it is "dehydration" or just "unexpected increased demand". I don't think that any outbreaks of diarrhea in the US are enough to explain this shortage, for such a prolonged duration. It has also been blamed on "FDA inspections" and some of the US manufactures being shut down by the FDA. (There are only 3) I don't feel that any of these standard explanations really are adequate to explain the current situation, especially the duration of this problem, hence this thread. Last Edited by emerald eye on 06/16/2014 01:27 PM Courage forges a path through all obstacles, while fear is the obstruction of all dreams. The only way that anyone gets something for nothing, is that someone else has given up something for nothing. |
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