Concentrated (Undiluted) Magnesium Sulfate 50% vials in the non-cardiac OR ADCs

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Sun, 11/16/2025 - 07:52

Salma Al-Khani

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Joined: 02/04/2009 - 00:10

Concentrated (Undiluted) Magnesium Sulfate 50% vials in the non-cardiac OR ADCs

Dear MSOS colleagues:
I would like to clarify if you keep Concentrated (Undiluted) Magnesium Sulfate 50% vials in the non-cardiac operating rooms automated dispensing cabinets (ADC)
as per the JCI IPSG, (IPSG 03.02), Improve the safety of medications (concentrated electrolytes)
"The exception to store concentrated electrolytes outside pharmacy in patient care units is the availability of magnesium sulfate in the cardiac surgery kit and cardiac surgery locked storage areas, emergency carts and where patients with preeclampsia treated"

In our hospital the anesthesia team of a non-cardiac operating rooms (transplant surgery room, oncology surgery rooms, pediatric surgery rooms, other ...etc) are requesting to have the vials available for certain clinical conditions such, urgent management of pediatric patients with bronchospasm, cardiac patients in non-cardiac surgery developing arrythmias.

Please let us know if you store Magnesium Sulfate 50% vials in the non-cardiac operating rooms automated dispensing cabinets (ADC) or no.
If no what is your alternative method for such urgent situations

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