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 Formulary Chapter 9: Nutrition and blood - Full Chapter
Notes:

Where a formulary entry does not detail a medicine’s indications for use, the medicine can be assumed to be approved for all licensed indications.

Formulary approved "off-label" use is detailed separately.

 Details...
09.02.02.01  Expand sub section  Electrolytes and water
09.02.02.01  Expand sub section  Intravenous sodium
Plasma-Lyte 148 intravenous infusion
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Restricted Drug Restricted Restricted to use in Critical Care, and intraoperative use in the following procedures:
  • Free flap reconstruction
  • Renal transplant
  • Simultaneous kidney and pancreas transplant 
  •    
    Ringer's Solution for Injection
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    Formulary  
       
    Sodium Chloride 0.18% and glucose 4% Intravenous infusion
    Formulary  
       
    Sodium Chloride 0.45% and glucose 5% Intravenous infusion
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    Formulary  
       
    Sodium Chloride 0.45% intravenous infusion
    Formulary  
       
    Sodium Chloride 0.9% intravenous infusion
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    Formulary  
       
    Sodium Chloride 1.8% intravenous infusion
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    Formulary  
       
    Sodium lactate intravenous infusion compound (Hartmann's)
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    Formulary  
       
    09.02.02.01  Expand sub section  Intravenous glucose
    Glucose 5% Intravenous infusion
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    Formulary  
       
    Glucose 10% Intravenous infusion
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    Formulary  
       
    Glucose 20% Intravenous infusion
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    Formulary  
       
    Glucose 50% Intravenous infusion
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    Formulary  
       
    09.02.02.01  Expand sub section  Intravenous potassium
    Potassium chloride 0.15% and sodium chloride 0.9% intravenous infusion
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    Formulary

    20 mmol K+ per 1000mL

     
       
    Potassium chloride 0.15% and glucose 5% intravenous infusion
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    Formulary 20 mmol K+ per 1000mL 
       
    Potassium chloride 0.3% and glucose 5% intravenous infusion
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    Formulary 40 mmol K+ per 1000mL 
       
    Potassium chloride 0.3%, sodium chloride 0.18% and glucose 4% intravenous infusion
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    Formulary 40 mmol K+ per 1000mL 
       
    Potassium chloride 0.3%, sodium chloride 0.45% and glucose 5% intravenous infusion
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    Formulary 40 mmol K+ per 1000mL 
       
    Potassium chloride 0.3%, sodium chloride 0.9% intravenous infusion
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    Formulary 40 mmol K+ per 1000mL 
       
    Potassium chloride strong injection 15%
    Formulary

    20 mmol K+ in 10mL

    REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

     
       
    Addiphos injection  (potassium supplementation)
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    Formulary

    30 mmol K+ in 20mL

    20mL also contains:

    • 40mmol Phosphate
    • 30mmol Sodium

    REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

     
       
    Cardioplegia infusion
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    Formulary

    16 mmol K+ in 20mL

    REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

    For myocardial protection during cardiac surgery

     
       
    Potassium acetate injection
    Formulary

    10 mmol K+ in 10mL

    REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

     
       
    Potassium acid phosphate injection 13.6%
    Formulary

    10 mmol K+ in 10mL

    REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

     
       
    Potassium chloride 1.5% in sodium chloride 0.9% infusion minibag
    Unlicensed Drug Unlicensed

    20 mmol K+ in 100mL

    REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

     
       
    Potassium chloride 3% in sodium chloride 0.9% infusion minibag
    Unlicensed Drug Unlicensed

    40 mmol K+ in 100mL

    REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

     
       
    Potassium chloride 3% in sodium chloride 0.9% prefilled syringe 50mL
    Unlicensed Drug Unlicensed

    20 mmol K+ in 50mL

    REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

     
       
    Potassium chloride 7.5% in sodium chloride 0.9% prefilled syringe 50mL
    Unlicensed Drug Unlicensed

    50 mmol K+ in 50mL

    REFER TO LOCAL TRUST PROTOCOL FOR CONCENTRATED POTASSIUM SOLUTIONS

     
       
    09.02.02.01  Expand sub section  Bicarbonate and lactate to top
    Sodium bicarbonate 1.26% intravenous infusion
    Formulary  
       
    Sodium Bicarbonate 1.4% intravenous infusion
    Formulary  
       
    Sodium Bicarbonate 2.74% intravenous infusion
    Formulary  
       
    Sodium Bicarbonate 8.4% intravenous infusion
    Formulary  
       
    09.02.02.01  Expand sub section  Water
    Water for Injections
    Formulary  
       
     ....
    Key
    note Notes
    Section Title Section Title (top level)
    Section Title Section Title (sub level)
    First Choice Item First Choice item
    Non Formulary Item Non Formulary section
    Restricted Drug
    Restricted Drug
    Unlicensed Drug
    Unlicensed
    Track Changes
    Display tracking information
    click to search medicines.org.uk
    Link to adult BNF
    click to search medicines.org.uk
    Link to SPCs
    SMC
    Scottish Medicines Consortium
    Cytotoxic Drug
    Cytotoxic Drug
    CD
    Controlled Drug
    High Cost Medicine
    High Cost Medicine
    Cancer Drugs Fund
    Cancer Drugs Fund
    NHSE
    NHS England
    Homecare
    Homecare
    CCG
    CCG

    Traffic Light Status Information

    Status Description

    Red

    Specialist or hospital prescribing only. The responsibility for prescribing, monitoring, dose adjustment and review should remain with the specialist or hospital. In very exceptional circumstances a specialist may discuss individual patient need for a RED drug to be prescribed by a GP and the GP should consider informing the Medicines Management team before a decision is made to prescribe for individual patients.   

    Amber 1

    Treatment can be initiated in primary care after a recommendation from an appropriate specialist  

    Amber 2

    Specialist initiation followed by maintenance prescribing in primary care  

    Amber 3

    Specialist initiation with ongoing monitoring required. After dose stabilisation GPs can be requested to take over prescribing responsibilities using the approved APC shared care documentation  

    Green

    Specialist and non-specialist initiation  

    Grey

    Not recommended for prescribing  

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