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The New Coffee Room

  1. TNCR
  2. General Discussion
  3. Severe IV fluid shortage

Severe IV fluid shortage

Scheduled Pinned Locked Moved General Discussion
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  • jon-nycJ Offline
    jon-nycJ Offline
    jon-nyc
    wrote on last edited by
    #1

    Due to an NC plant closure caused by Helene.

    https://www.beckershospitalreview.com/supply-chain/mass-general-brigham-reports-iv-fluid-shortage.html?utm_source=atssocialmedia&utm_medium=x&utm_content=100524x_01link

    Only non-witches get due process.

    • Cotton Mather, Salem Massachusetts, 1692
    1 Reply Last reply
    • JollyJ Offline
      JollyJ Offline
      Jolly
      wrote on last edited by
      #2

      It's not rocket surgery to make most of that. FDA waiver for somebody?

      “Cry havoc and let slip the DOGE of war!”

      Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

      1 Reply Last reply
      • MikM Offline
        MikM Offline
        Mik
        wrote on last edited by
        #3

        You're really talking about saline solution, right?

        “I am fond of pigs. Dogs look up to us. Cats look down on us. Pigs treat us as equals.” ~Winston S. Churchill

        AxtremusA 1 Reply Last reply
        • JollyJ Offline
          JollyJ Offline
          Jolly
          wrote on last edited by
          #4

          I suspect Ringer's, D5, Normal Saline, etc.

          “Cry havoc and let slip the DOGE of war!”

          Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

          1 Reply Last reply
          • jon-nycJ Offline
            jon-nycJ Offline
            jon-nyc
            wrote on last edited by
            #5

            Good news and bad news:

            U.S. officials approved airlifts of IV fluids from overseas manufacturing plants on Wednesday to ease shortages caused by Hurricane Helene that have forced hospitals to begin postponing surgeries as a way to ration supplies for the most fragile patients.

            The current shortage occurred when flooding coursed through western North Carolina and damaged a Baxter plant, which is now closed for cleaning.

            But…

            The situation could become even more dire now that Hurricane Milton is hitting Florida. On Tuesday, workers at B. Braun, makers of a fourth of the nation’s IV fluids, loaded trucks at the company’s plant in Daytona Beach with the medical bags and drove them north through the night to what they hoped would be a safer location.

            The Baxter plant, in Marion, N.C., and the B. Braun site in Daytona Beach manufacture about 85 percent of the nation’s supply of IV fluids.

            Only non-witches get due process.

            • Cotton Mather, Salem Massachusetts, 1692
            1 Reply Last reply
            • MikM Mik

              You're really talking about saline solution, right?

              AxtremusA Offline
              AxtremusA Offline
              Axtremus
              wrote on last edited by
              #6

              @Mik said in Severe IV fluid shortage:

              You're really talking about saline solution, right?

              I suppose the challenge is packaging.

              1 Reply Last reply
              • JollyJ Offline
                JollyJ Offline
                Jolly
                wrote on last edited by
                #7

                It's a drug. FDA approval needed.

                “Cry havoc and let slip the DOGE of war!”

                Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                1 Reply Last reply
                • B Offline
                  B Offline
                  blondie
                  wrote on last edited by
                  #8

                  I vaguely recall glass IV bottles. I’m sure @George-K does. I wonder if those still exist stockpiled somewhere.

                  George KG JollyJ 2 Replies Last reply
                  • B blondie

                    I vaguely recall glass IV bottles. I’m sure @George-K does. I wonder if those still exist stockpiled somewhere.

                    George KG Offline
                    George KG Offline
                    George K
                    wrote on last edited by
                    #9

                    @blondie said in Severe IV fluid shortage:

                    I vaguely recall glass IV bottles. I’m sure @George-K does.

                    Sure do. They were...cumbersome.

                    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                    1 Reply Last reply
                    • B Offline
                      B Offline
                      blondie
                      wrote on last edited by blondie
                      #10

                      @George-K I remember them for lipids. Break one and that stuff had you sliding on the floor. But, you could be real accurate reading your volumes with a glass bottle. I wonder if people today even know about that or how to count drops-calculate flow? The mental head math we all did in a day was astounding. I bet nurses today don't mix up their own meds or drips either.

                      1 Reply Last reply
                      • George KG Offline
                        George KG Offline
                        George K
                        wrote on last edited by
                        #11

                        12 drops per ml. If using a mini-dripper, it's 60.

                        Remember, I married an ICU nurse.

                        I used to run dopamine, epi and isuprel (!) by counting micro drops.

                        And yeah, I made up my own drips too.

                        "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                        The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                        1 Reply Last reply
                        • B blondie

                          I vaguely recall glass IV bottles. I’m sure @George-K does. I wonder if those still exist stockpiled somewhere.

                          JollyJ Offline
                          JollyJ Offline
                          Jolly
                          wrote on last edited by
                          #12

                          @blondie said in Severe IV fluid shortage:

                          I vaguely recall glass IV bottles. I’m sure @George-K does. I wonder if those still exist stockpiled somewhere.

                          Africa?

                          “Cry havoc and let slip the DOGE of war!”

                          Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                          1 Reply Last reply
                          • George KG Offline
                            George KG Offline
                            George K
                            wrote on last edited by George K
                            #13

                            Hay, @blondie , ever see one of these?

                            image.jpeg

                            https://bq-md.com/what-is-dial-a-flow-tubing-and-what-does-it-do/

                            "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                            The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                            1 Reply Last reply
                            • B Offline
                              B Offline
                              blondie
                              wrote on last edited by
                              #14

                              @Jolly Maybe. @jodi might know, but I think glass (bottles & syringes) were still used in veterinary medicine through the 1980s. Gotta love stuff that endures.

                              1 Reply Last reply
                              • JollyJ Offline
                                JollyJ Offline
                                Jolly
                                wrote on last edited by
                                #15

                                Ain't lived unless you've drawn blood donors with glass bottles. Curl their toes, you could...

                                “Cry havoc and let slip the DOGE of war!”

                                Those who cheered as J-6 American prisoners were locked in solitary for 18 months without trial, now suddenly fight tooth and nail for foreign terrorists’ "due process". — Buck Sexton

                                1 Reply Last reply
                                • B Offline
                                  B Offline
                                  blondie
                                  wrote on last edited by blondie
                                  #16

                                  @George-K Ive never seen that. Was that for adults? I kinda remember 20 gtts = 1 ml .. but my mind goes blank remembering how to calculate drops/min with adult drip chambers. We still put masking tape on the bags. Kids were easier with buretrols (is that what they were called?).

                                  1 Reply Last reply
                                  • George KG Offline
                                    George KG Offline
                                    George K
                                    wrote on last edited by
                                    #17

                                    Yeah, it was for adults - it "counted drops" if you will. We called it "Dial-a-guess."

                                    We always titrated to effect, so accuracy wasn't as important as consistency.

                                    Loved buretrols too. Had occasion to used them on adults - though not common.

                                    "Now look here, you Baltic gas passer... " - Mik, 6/14/08

                                    The saying, "Lite is just one damn thing after another," is a gross understatement. The damn things overlap.

                                    1 Reply Last reply
                                    • B Offline
                                      B Offline
                                      blondie
                                      wrote on last edited by
                                      #18

                                      @jolly I’ve never collected blood from a donor. That would’ve been a satisfying job I imagine.
                                      I’m trying to remember, but could there have been a time where I stripped chest tubes into glass bottles or drained stuff coming from a chylothorax ?? lol, I seem to remember tripping or kicking over a big bottle on a floor once (and getting laughed at).

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