Massive drug shortages. Nearly every day, we get an email telling us which drugs are going to be unavailable — likely all fallout from the fungal meningitis outbreak earlier this fall. Today’s was the code cart drugs — epinephrine, lidocaine, atropine, nitro, and CaCl. Which means that during the ACLS algorithm, when it’s time to stop compressions and push epi, we’re gonna have to wait for a nurse to follow instructions on how to dilute a more concentrated formulation.
I know our nurses are great, especially the ICU nurses who are present at codes, but this does not bode well. Do you really want to do a 1:10 dilution in the chaos of a code?
Um, if you can help it, try not to have your heart stop beating, guys. At least not till mid-December 2012.