Johns Hopkins University



Pediatric Pharmacy Operational Changes Due to Drug Shortages*MedicationOperational ChangeDate Last UpdatedArtificial-tear-related ophthalmic products Recall on select items. Multiple items will scan for one another. 1/8/20Artificial tears- 15mL bottleAlternative alert in EPIC for polyvinyl alcohol-povidone 1.4-0.6% eye drops. Limit use of 15 mL bottles for compounded eye drops only. 12/4/19Bumetanide 0.25mg/mL injBorrow from other areas if our supply is exhausted. 7/15/20Cefazolin 10g injSufficient supply of 10g vials, but may use 1g if needed. 4/2/20Chlorothiazide Oral SuspensionDo not lend. Transition patients to HCTZ or metolazone.8/13/20Clindamycin 150mg/mL injInvestigating ability to use RTU. 10/9/20Desmopressin 150 mcg/sprayCurrently investigating alternatives.8/13/20Dextrose 25% injDecrease supply in drug box from 5 to 2. 2/5/20Epinephrine 0.1mg/mL, 10mLIncrease quantity in drug boxes back to 4 (from 3).9/4/20Epoprostenol inj0.5mg vials available. New vials hold less total volume – CNR changes in progress. 9/4/20Famotidine 10 mg tabFamotidine 20 mg half-tablet will default in EPIC. Famotidine suspension is an alternative.8/13/20Fentanyl 50mcg/mL inj (20mL and 50mL supply most critical)Volumes of several PCAs and PICU infusions decreased to 50 mL5/13/20Fludarabine injDo not lend to outside institutions.9/4/20Hydromorphone injVolumes of several infusions and PCAs decreased to 50 mL. 5/13/20Ketamine injAll infusions, PCAs, and CNR records updated to use 50mg/mL. Volumes of several PCAs decreased to 50 mL.5/13/20Ketorolac 15mg injUtilize 30mg/mL vials to make 15mg/mL dilution if necessary. 10/9/20Lithium citrate 8 mEq/5mL oral solutionConvert patients to tablets when able/appropriate. Supply on long-term backorder.10/9/20Lupron Depot InjUse Lupron Ped Depot 11.25mg – 3 month in place of Lupron Depot 11.25mg – 3 month (components are the same). JIRA pending to add to Peds Med list. 10/9/20Mineral oilUse cups if bulk bottle supply is depleted. 10/9/20Morphine injVolumes of several PCAs decreased to 50 mL. Utilize 10mg/mL in CNR record to make 1mg/mL for repackaging. 9/18/20Nalbuphine injAlternative alert built in EPIC to use butorphanol. 12/4/19Nicardipine injUnder evaluation. 10/9/20Penicillin G Sodium injUse Penicillin G Potassium instead. 10/17/18Phos-NaK PacketsDo not use lots 193461, 193461A, 193461B7/24/20Sodium Bicarbonate 4.2% syr.Out of stock. Use CNR or 5mL vials (on rolling shelves) for patient-specific doses. Use 5mL vials in Pyxis, RRT and NICU bags. 9/4/19Sodium Bicarbonate 8.4% syr.For drug boxes- substitute with 50mL vial and 60mL syringe.4/3/19Sodium Chloride 4 mEq/mL injUtilize 4 mEq/mL only for IV to PO, located in supply room. For IV to PO, recommend tablets for doses >= 8.5 mEq/dose. Sodium chloride 2.5 mEq/mL will be used for IV compounding, located in IV staging. Refer to email on changing additive when verifying. Extend vial BUD to 12 hours. Contact CCS for more. 8/13/20Thiotepa 100 mg vialDo not lend to outside institutions. Notify Jenn re: new patients. 8/20/20*Refer to the Drug Shortage Weekly Update from David Stimler and memos from the Drug Information Center for more information ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download