Sodium Chloride 23.4% Nomenclature

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Danielle Pritchard
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Sodium Chloride 23.4% Nomenclature

Hi All,

Following the ISMP Safety Alert from November 4, 2021, our institution is assessing our process for hypertonic sodium chloride solutions. We do allow for sodium chloride 23.4% vials to be stocked in secure cubies in the NeuroICU with a blind count and cannot be overridden.

We are curious regarding the differentiation of "hypertonic" and "concentrated" for sodium chloride 3% and sodium chloride 23.4% respectively. Initial feedback was that "concentrated" isn't typically associated with sodium chloride 23.4% and could cause confusion.

How are these products listed in other institutions (EMR and ADMs if applicable)?

Thank you!
Danielle Pritchard
Medication Safety Officer
Westchester Medical Center