Thursday, December 21, 2017

Supply Shortages Of Lactated Ringer’s Solution And Other Related Products

We are aware of potential supply shortages of lactated Ringer’s injection solution and other related products. Below you will find a set of suggested resources for your consideration as you work with your healthcare community to cope with and mitigate the effects of this most recent drug product shortage:

American Society of Health-System Pharmacists:

- Prepared in consultation with the HHS/ASPR Critical Infrastructure Protection Program    

  and the FDA, "Small-volume Parenteral Solutions Shortages for Management and 
  Conservation" (October 18, 2017): https://www.ashp.org/-/media/assets/drug- 
  shortages/docs/drug-shortages-svp-shortages-suggestions-for-management-
  conservation.ashx?la=en&hash=D6BB06DB8AD5891E7EAE628E3B22015591430B75
- Lactated Ringer's Injection/Solution shortage report: https://www.ashp.org/Drug-
  Shortages/Current-Shortages/Drug-Shortage-Detail.aspx?id=1294
- General resources on drug shortages management: https://www.ashp.org/Drug-
  Shortages/Shortage-Resources 

ASTHO:
- "Coping with and Mitigating the Effects of Shortages of Emergency Medications" 

   (2012): http://www.astho.org/Programs/Preparedness/Coping-With-Drug-Shortages/Drug-
   Shortage-Report-2012/ . (Important Note: HHS/ASPR has recently asked ASTHO to 
   update this document in the months ahead.)

HHS/ASPR Technical Resources, Assistance Center, and Information Exchange:
- Select Materials on Drug Shortages and Scarce Resources: 2017
  This page highlights resources ASPR TRACIE developed to help our stakeholders       

  prepare for and manage drug shortages and the allocation of scarce resources. 
  https://asprtracie.hhs.gov/scarce-resources
- Clinicians and Coalitions: A Conversation about Finding Solutions for Medication     

  Shortages: 2017
  The speakers in this webinar provided an overview of the medication shortages and their      clinical impact; described coping strategies for scarce resources. The speakers in this    
  webinar: provided an overview of the medication shortages and their clinical impact; 
  described coping strategies for scarce resources; and discussed the decision-making    
  strategies states, coalitions, and healthcare facilities are currently  
  using: https://asprtracie.s3.amazonaws.com/documents/aspr-tracie-medication-  
  shortages-webinar-508.pdf

FDA:
- Drug Shortages webpage with listings of shortages including status of availability and 

  estimated shortage duration:
  https://www.accessdata.fda.gov/scripts/drugshortages/dsp_ActiveIngredientDetails.cfm?
  AI=Sodium%20Chloride%200.9per%20Injection%20Bags&st=c&tab=tabs-1 

We hope you find this information helpful and, as we learn more we will immediately pass long to you. If you have any questions, please contact the Health Facilities and Emergency Medical Services Division at 303-692-2800.


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