Hypertonic Saline (3%) compounding

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

1 post / 0 new
Marriam Gul
Marriam Gul's picture
Offline
Last seen: 1 week 13 hours ago
Joined: 01/12/2024 - 12:23
Hypertonic Saline (3%) compounding

It sounds like we will need to move to compounding 3% saline due to the fluid shortage.

We can make it 2 ways – base as SWFI and base as NS.

SWIF base: 64.1 mL 23.4% NA and 435 mL of SWFI
0.9% NS base: 46.7 mL 23.4% NA and 453 mL 0.9 ml NS

SWFI has the (+) of not have saline on the bag so someone does not mistake it for a 0.9% with some other additive but requires more 23.4% saline which goes in and out of shortage. Can someone share if there is a ‘safer’ way to compound 3% saline? and labeling? Thank you!