With the unavailability of Lorazepam 2mg/ml injectable solution, has anyone been diluting the 4mg/ml concentration to 2mg/ml? The stability data on this is not concise.

Does anyone have electronic or other tools in place to help prevent ADRs associated with morphine use in patients with severe renal dysfunction? I'm thinking maybe focused alerts for ER formulations, opioid-native patients, high doses, and/or patients who are receiving frequent prn doses?  There's no specific manufacturer recommendations, but Lexicomp provides some general guidance on dosing, etc.  

Thanks!

Our organization has moved to a new vendor and there are some opportunities for us to "fill the gap" based on what is available.

Specifically in the anticoagulation area.

Thanks

Hello-
We are working to implement a policy/procedure to outline the management of dual pharmacist order verification for select medications. We would greatly appreciate learning from others if anyone is willing to share their policy or processes. We are interested in your criteria for how a medication is determined to be added to the dual pharmacist order verification list, etc. Thank you!

Jennifer Noped

Since transitioning to outsourcing TPN, we are likely to have increased home TPN usage in the hospital for the first day of admission. Does your facility have nurses document home TPN administration on the MAR like a regular home medication? If so, how is it built out-- as a general "home TPN" order or as a specific TPN order broken down into components? Thanks! -Melody Sun, CHOC Children's

We use EPIC and are looking to create an order set for alteplase and heparin used during EKOS procedures to treat pulmonary embolism. If anyone has an order set already built (Epic or non) please share. Thank you for your time!

Shari Waldron
Providence St. Mary Medical Center
401 W. Poplar Street
Walla Walla, WA 99362
(509)897- 2055

Hi there,

Per Package Insert (25% vial)-

"Crystals may form in Mannitol Injection, especially if the solution is exposed to low temperatures. If crystallization occurs, warm the vial in water at 80°C and periodically shake vigorously to dissolve the crystals."

While the above recommends water for rewarming, other resources such as ASHP Injectable Drug Information book suggests, "The use of a water bath is not recommended."

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Dear safety partners

I am trying to establish a quality assurance program in pharmacy with a focus on operations and production, addressing different stages of the medication use process. Appreciate sharing any resources or examples you may have Raya_z@hotmail.com

We currently use the BD Alaris PCA pump module for epidural administration. Our purchasing team is telling us there is not a yellow striped epidural tubing set available for use. They went on backorder awhile back and now we're being told there isn't an option to use with this pump module that has the stripe at all. Anyone else use this pump for epidural administration? What tubing are you using? Thank you!