Enteral Electrolyte Addition to Pediatric Formula

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jrufo@ismp.org

3 posts / 0 new
Last post
Courtney Doellner
Courtney Doellner's picture
Offline
Last seen: 9 months 3 days ago
Joined: 01/12/2021 - 10:49
Enteral Electrolyte Addition to Pediatric Formula

Hi All,

We are evaluating our current process of adding electrolyte replacement doses to 24hr supply of enteral formula in pediatric patients and are interested in the following:

1. Does your institution have pharmacy add enteral electrolyte replacements (e.g. NaCl, NaHCO3, etc) directly to 24 hour supply of formula to administer continuously? If so, what process is in place to handle appropriately?

2. If pharmacy does not add electrolyte replacement doses to formula directly, does nursing do so? How do you ensure that the dose(s) intended to be given continuously over 24 hours get mixed into the formula and not administered directly to the patient undiluted?

3. If neither of above, do you dispense electrolyte replacement doses in divided doses instead of a once daily, 24-hour dose?

Thank you in advance, appreciate any insight you can provide!
Best,
Courtney

Tags: