KCL Shortage UPDATE
Most Recent Resupply Dates
| 2 mEq/mL; 20 mL vial (NDC 0409-6653-05) (Standard) | Next delivery June |
| 10 mEq/100 mL (NDC 00409-7074-26) | Ample supplies available to meet market demand. |
| 10 mEq/50 mL (NDC 00409-7075-14) | Ample supplies available to meet market demand. |
| 20 mEq/100 mL, (NDC00409-7075-26) |
Ample supplies available to meet market demand. |
| 20 mEq/50 mL (NDC 00409-7077-14) |
Ample supplies available to meet market demand. |
| 40 mEq/100 mL(NDC 00409-7077-26) | Ample supplies available to meet market demand. |
Editors Note:
With 2 mEq Being our standard concentration (@ our institutions)– Here is a break down on one way to work with what’s available:
the 20 mEq/50 ml solution seems to be the best bet:
(0.4 mEq/ml- or 1/5 strength of our current concentration)
So adding 100 cc to a 400 ml NSS bag would give you roughly the 80 mEq/L concentration we use for a 4:1 Blood to Crystalloid (High dose primary KCL) cardioplegia delivery.
And adding 25 cc to a 475 ml NSS bag would give you roughly the 20 mEq / L concentration we use for a 4:1 Blood to Crystalloid (Low dose secondary KCL) cardioplegia delivery.
(I know these are ONLY approximate concentration values)
A Work Around for Quest MPS Users
- A Thermal Coil
- Coil / Bucket Holder
- Manometer
- Manometer Holder
Click to view manufacturer product page
Click to view manufacturer product page
Editors Note:
This is NOT an advertisement for the above products.
But when discussing it with a good friend and colleague of mine, and in light of the fact that we use the Quest MPS as our cardioplegia delivery system, this seemed to be a reasonable solution.
My experience with this system ranges 4 years- and it is a solid performer, and effective cooling system.
It allows us to adjust well to the KCL shortage- and eliminates the need for additional heater/cooler hardware additions or heater / cooler modifications.
Any suggestions are welcome ?
