Is it OK to infuse mannitol that contains crystals?

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
Karen Thompson
Karen Thompson's picture
Offline
Last seen: 10 months 2 weeks ago
Joined: 05/03/2009 - 02:30
Is it OK to infuse mannitol that contains crystals?

We are having a tough time keeping our mannitol crystal-free here in Alaska... We have it in a warmer set at 104 F, but occasionally we have found ourselves with NO crystal-free mannitol in the hospital. I would never advise an RN to put the 20% mannitol bag into the blanket warmer for 1/2 hour, then let it cool just prior to administration. :-)
Is it OK to infuse even if there are some crystals present, since you are infusing it through an in-line filter? The bag labeling and the manufacturer say "No", but common sense tells me "Yes". Would you give staff the OK to infuse it with crystals?