I'm interested in any look/sound alike or high-alert meds at your hospitals that aren't on the ISMP lists. Maybe ones that you've identified based on your error reports, etc.

One that I've been thinking about lately is our epi nasal solution that looks just like an inj vial.

Thanks

We currently have an Epi/Cal drip in our formulary (epinephrine 4mg + CaCl 1gm / 250mL D5W). Our maximum rate is 20mL/hr (~5.333mcg/min of epinephrine). Our plain epinephrine drips (various concentrations) have a max rate of 50 mcg/min.

#1: If you currently use EPI/CAL, what evidence/references do you use to support its continued use? -1990's article in Circulation showed that "calcium blunts epinephrine's beta-adrenergic actions in postoperative cardiac surgery patients." We would like to use this article as a foundation for having EPI/CAL removed from formulary.

Hello ~
(two questions coming to you today!)

First is this (in light of the epi auto-injector shortage):
In your Ambulatory/Outpatient spaces (if you have oversight) - do you currently stock EpiPens (or the generic auto-injectors) or do you supply epinephrine anaphylaxis kits (with the vial and instructions for dosing)?

Would you be willing to share your kit / label design and any additional safety measures / training that you have in place for staff, if you are currently stocking providing epi kits to the clinics?