How to prepare 0.45 NaCl IVFluid?

[trevor05]

I know that there are no commercially available 0.45 NaCl, so Out of curiosity, Does anybody has experience, or has knowledge how to prepare 0.45 NaCl? Thanks.

[TriciaJ, RN]

While working telephone triage at a university student health clinic, I once received a call asking how to make your own sterile saline for injection. The young man would not provide his name or student ID number and would not tell me what he wanted it for. He seemed rather put out that I would not tell him how to go about it. Queries like this raise my hackles.

[wondern, ASN]

There's a shortage of just about everything. The largest manufacturer of IV fluids, Baxter, is located in Puerto Rico and was heavily damaged by the last hurricane. Many of their product lines are still down and the ones that are up are not at capacity yet.

Wow, I did not realize. Thanks for the update.

[Fiona59]

Wow, I did not realize. Thanks for the update.

That's why there is a shortage of mini bags and the drive to push IV meds

[TigraRN]

Shortage of everything, fluids, dilaudid, morphine, all sorts of abx, even lancets.

[BSN16]

Are you not in the US? 0.45% NaCl is widely available.

That said, ALL IV fluids not stocked on our floor are mixed by pharmacy.

i work in transplant at a large teaching hospital. usually we use .45 AND .9 NS for our kidney transplants, but there is such a shortage here that we can only use .9

[KelRN215, BSN, RN]

Are you not in the US? 0.45% NaCl is widely available.

That said, ALL IV fluids not stocked on our floor are mixed by pharmacy.

This. When I worked in the hospital, a lot of our chemo patients were on IV fluids with KPhos or Mag or Ca+ or other additives the the pharmacy mixed those bags special for each patient. No way would you make a bag of IV fluid on the floor. These things need to be mixed under a sterile hood in a clean room.

And 0.45% NaCL was definitely one of our standard IV fluids we stocked on the floor in 500 mL bags.